RADICAL AUTHENTICITY & WELLNESS PSYCHOTHERAPY GROUP LLC
NPI 1538875687
Psychologist in Chicago, IL
NPI Status: Active since January 23, 2023
Contact Information
1554 W HOLLYWOOD AVE
CHICAGO, IL
ZIP 60660
Phone: (434) 284-3806
- Organization
- Psychologist
- Accepts Insurance
About RADICAL AUTHENTICITY & WELLNESS PSYCHOTHERAPY GROUP LLC
This page provides the complete NPI Profile along with additional information for Radical Authenticity & Wellness Psychotherapy Group Llc, a provider established in Chicago, Illinois operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1538875687 assigned on January 2023. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Alexander K Tatum Phd (President)
- NPI
- 1538875687
- Provider Name
- RADICAL AUTHENTICITY & WELLNESS PSYCHOTHERAPY GROUP LLC
- Entity Type
- Organization
- Location Address
- 1554 W HOLLYWOOD AVE CHICAGO, IL 60660
- Location Phone
- (434) 284-3806
- Mailing Address
- 5754 N WINTHROP AVE APT 3 CHICAGO, IL 60660
- Mailing Phone
- (434) 284-3806
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2023
- Last Update Date
- 01-23-2023
- Code Navigator
A psychologist like Radical Authenticity & Wellness Psychotherapy Group Llc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
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
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for RADICAL AUTHENTICITY & WELLNESS PSYCHOTHERAPY GROUP LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 5 | 3 | 8 | 8 | 7 | 5 | 6 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 16 | 7 | 10 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 6 + 7 + 1 + 0 + 6 + 1 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1538875687 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588050066 | CHRISTINE DEMOS L.C.S.W. Individual | Social Worker (Clinical) | 1554 W HOLLYWOOD AVE CHICAGO, IL 60660 (773) 329-0371 |
| 1982397089 | CHRISTINE DEMOS LCSW PLLC Organization | Clinic/Center (Adult Mental Health) | 1554 W HOLLYWOOD AVE CHICAGO, IL 60660 (708) 462-2568 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538875687, enumerated in the NPI registry as an "organization" on January 23, 2023
The provider is located at 1554 W Hollywood Ave Chicago, Il 60660 and the phone number is (434) 284-3806
This medical organization specializes in Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 23, 2023. 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.