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

Center for Psychological Well Being and Empowerment

Organization Psychologist · NPI 1063179901

Center for Psychological Well Being and Empowerment is a Psychologist in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2858 W Diversey Ave
Chicago, IL 60647-1871
Phone: (312) 374-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1063179901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azadeh Fatemi — Psychologist · (573) 201-7742
NPI enumeratedNovember 28, 2021
Last updated in NPPESNovember 28, 2021
Certification dateNovember 28, 2021
Mailing address7649 W Rascher Ave, Chicago, IL 60656-1736

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