JOHN WILLIAM ALLEN, PSY.D. P.C.
NPI 1336379304
Preferred Provider Organization in Chicago, IL

NPI Status: Active since July 23, 2009

Contact Information

4055 W PETERSON AVE
STE. 201
CHICAGO, IL
ZIP 60646
Phone: (773) 478-2982
Fax: (773) 478-8105

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  • Preferred Provider Organization

About JOHN WILLIAM ALLEN, PSY.D. P.C.

This page provides the complete NPI Profile along with additional information for John William Allen, Psy.d. P.c., a provider established in Chicago, Illinois operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1336379304 assigned on July 2009. The practitioner's primary taxonomy code is 305R00000X with license number 071-007404 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. John William Allen Psy.d. (Clinical Psychologist)

NPI
1336379304
Provider Name
JOHN WILLIAM ALLEN, PSY.D. P.C.
Entity Type
Organization
Location Address
4055 W PETERSON AVE STE. 201 CHICAGO, IL 60646
Location Phone
(773) 478-2982
Location Fax
(773) 478-8105
Mailing Address
4055 W PETERSON AVE STE. 201 CHICAGO, IL 60646
Mailing Phone
(773) 478-2982
Mailing Fax
(773) 478-8105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2009
Last Update Date
07-23-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
071-007404
License State
IL
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1302R00000XManaged Care Organizations

Health Maintenance Organization

071-007404 (IL)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN WILLIAM ALLEN PSY.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(773) 478-2982

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336379304
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366671830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 7 + 1 + 8 + 3 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1336379304 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790791192DR. KATHLEEN ANN KRUPICA PSY.D.
Individual
Psychologist (Clinical)4055 W PETERSON AVE SUITE 201
CHICAGO, IL 60646
(773) 478-8165
1568598563MRS. LORI JENNIFER QUILTY LCSW
Individual
Social Worker (Clinical)4055 W PETERSON AVE SUITE 201
CHICAGO, IL 60646
(312) 213-1409
1609044080DR. JOHN WILLIAM ALLEN PSY.D.
Individual
Psychologist (Clinical)4055 W PETERSON AVE SUITE 201
CHICAGO, IL 60646
(773) 478-2982
1407082936STEPHANIE CORNETTE P.C.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))4055 W PETERSON AVE 201
CHICAGO, IL 60646
(773) 988-7144
1497957997WALNUT GROVE VILLAGE
Organization
Skilled Nursing Facility4055 W PETERSON AVE SUITE 101
CHICAGO, IL 60646
(773) 202-0000
1477756724COVENTRY VILLAGE HEALTHCARE
Organization
Skilled Nursing Facility4055 W PETERSON AVE SUITE 101
CHICAGO, IL 60646
(773) 202-0000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336379304, enumerated in the NPI registry as an "organization" on July 23, 2009

The provider is located at 4055 W Peterson Ave Ste. 201 Chicago, Il 60646 and the phone number is (773) 478-2982

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

This NPI record was last updated on July 23, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.