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Contact Information

THE TRAUMA & ANXIETY PSYCHOLOGICAL SERVICES CLINIC
1114 W BALMORAL AVE APT 1E
CHICAGO, IL60640-1720
 Phone: 773-379-8129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THE TRAUMA & ANXIETY PSYCHOLOGICAL SERVICES CLINIC

NPI # 1821984568
LBN Legal business name THE TRAUMA & ANXIETY PSYCHOLOGICAL SERVICES CLINIC
Authorized official JEREMY SAENZ - (PSYCHOLOGIST & SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2025
Last updated 06/17/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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