OrganizationActive
Clinical Assist, Ltd.
NPI 1518246255 · Clinical Child & Adolescent Psychologist · Chicago, IL
Provider details
- NPI number
- 1518246255
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lori Tall, Executive Director(312) 285-2323
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Agencies
Practice location
1801 W Byron St
Chicago, IL 60613-2729
Phone: (773) 244-0700
Fax: (773) 244-0200
Approximate (ZIP-level) locationGet directions
Mailing address
1801 W Byron St
Chicago, IL 60613-2729
Other names (DBA / former)
- Doing business as
- Black Bear Academy
- Doing business as
- Black Bear Academy
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.