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

Blue Lotus Psychological Services, Inc

Organization Clinical Psychologist · NPI 1194136051

Blue Lotus Psychological Services, Inc is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1525 E 53rd St Ste 405
Chicago, IL 60615-4557
Phone: (773) 551-3916
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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 071.008505 (IL)

Record details

NPI number1194136051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne-Marie Nicolas — Owner/Psychologist · (773) 551-3916
NPI enumeratedMay 14, 2014
Last updated in NPPESMay 14, 2014
Mailing address1525 E 53rd St, Ste. 405, Chicago, IL 60615-4557

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