Organization Active NPI

Ross Psychological Group, Inc.

  • Clinical Psychologist
  • Evanston, IL
National Provider Identifier
1003347949
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007609 Issued in IL
Legal business name
ROSS PSYCHOLOGICAL GROUP, INC.
Practice address
1123 Emerson St Ste 202
Evanston, IL 60201-3100
Phone
(847) 859-9094
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew R. Farra, PSY.D.NPI 1457425647
Title
President
Phone
(847) 859-9094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071007609 IL Primary

Addresses

Primary practice location

1123 Emerson St Ste 202
Evanston, IL 60201-3100

Mailing address

1123 Emerson St Ste 202
Evanston, IL 60201-3100
Phone (847) 859-9094

National Provider Directory

National Provider Directory

Locations

1609 Sherman Ave
Ste 211
Evanston, IL 60201

1123 Emerson St
Ste 202
Evanston, IL 60201
Phone (312) 572-9296

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1003347949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 EMERSON ST STE 202",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013100",
            "telephone_number": "847-859-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 EMERSON ST STE 202",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013100",
            "telephone_number": "847-859-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS PSYCHOLOGICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "FARRA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-859-9094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.