- Practice location
- 4732 N Austin Ave Unit A, Chicago, IL 60630-3785
- Phone
- 214-301-5654
- Fax
- —
- Last updated
- December 18, 2024
Julissa M Pagan Pena is a Counselor, Mental Health based in Chicago, IL. Julissa M Pagan Pena practices in Chicago, IL and has the professional credentials of PSYD. The NPI Number for Julissa M Pagan Pena is 1033927488. The current practice location address for Julissa M Pagan Pena is 4732 N Austin Ave Unit A, Chicago, IL 60630-3785 and can be reached out via phone at 214-301-5654.
Provider Profile Details
- NPI Number
- 1033927488
- Provider Name
- Julissa M Pagan Pena
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4732 N Austin Ave Unit A, Chicago, IL 60630-3785
- Phone Number
- 214-301-5654
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 18, 2024
- Last Update Date
- December 18, 2024
- Certification Date
- December 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4732 N Austin Ave Unit A
Chicago, IL 60630-3785 - City
- Chicago
- State
- Illinois
- Zip
- 60630-3785
- Phone Number
- 214-301-5654
Provider Business Mailing Address Details
- Address
- 833 Calle Jesus M Munoz
San Juan, PR 00924-2237 - City
- San Juan
- State
- PR
- Zip
- 00924-2237
- Phone Number
- 787-398-5520
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Julissa M Pagan Pena, PSYD?
The NPI number of Dr. Julissa M Pagan Pena, PSYD is 1033927488. It was assigned on December 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Dr. Julissa M Pagan Pena, PSYD?
Dr. Julissa M Pagan Pena, PSYD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Dr. Julissa M Pagan Pena, PSYD practice?
The practice location is 4732 N Austin Ave Unit A, Chicago, IL 60630-3785. The office can be reached at 214-301-5654 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033927488 directly on the NPPES registry website.