Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andersonville Psychology, PC

Organization Clinical Psychologist · NPI 1962924829

Andersonville Psychology, PC provides Clinical Psychologist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5412 N Clark St Ste 220
Chicago, IL 60640-1272
Phone: (773) 985-8746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.009490 (IL)

Record details

NPI number1962924829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Smith — President · (773) 985-8746
NPI enumeratedJuly 12, 2017
Last updated in NPPESJuly 12, 2017
Mailing address1641 W Farwell Ave Apt Nb, Chicago, IL 60626-6064

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