Organization Active NPI

Art of Psychology, Inc.

  • Psychologist
  • Northbrook, IL
National Provider Identifier
1013152610
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-007187 Issued in IL
Legal business name
ART OF PSYCHOLOGY, INC.
Practice address
948 Enfield Dr
Northbrook, IL 60062-5987
Phone
(847) 528-0619
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Dr. Alex Reynish, PSYDNPI 1689756579
Title
President
Phone
(847) 528-0619

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071-007187 IL Primary

Addresses

Primary practice location

948 Enfield Dr
Northbrook, IL 60062-5987

Mailing address

948 Enfield Dr
Northbrook, IL 60062-5987
Phone (847) 528-0619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090501000422 IL Part B Supplier - Clinic/Group Practice 5395893242 Receives reassigned benefits from 2 practitioners
Practice locations: Glenview, IL; Northbrook, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1013152610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 ENFIELD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625987",
            "telephone_number": "847-528-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 ENFIELD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625987",
            "telephone_number": "847-528-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "REYNISH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-528-0619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-007187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.