Organization Active NPI

Dr. Andrea Barmish Mazza & Associates, LLC

Doing business as Center for Anxiety & OCD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deerfield, IL
National Provider Identifier
1013253145
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
071007754 Issued in IL
Legal business name
DR. ANDREA BARMISH MAZZA & ASSOCIATES, LLC
Doing business as
Center for Anxiety & OCD
Practice address
770 Lake Cook Rd
Suite 230
Deerfield, IL 60015-4920
Phone
(847) 680-7442
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Andrea Barmish Mazza, PH.D.
Title
Clinical Psychologist
Phone
(847) 780-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 071007754 IL Primary

Addresses

Primary practice location

770 Lake Cook Rd
Suite 230
Deerfield, IL 60015-4920

Mailing address

770 Lake Cook Rd
Suite 230
Deerfield, IL 60015-4920
Phone (847) 780-6442

Other names 1

  • Center for Anxiety & OCD Doing business as

National Provider Directory

National Provider Directory

Locations

770 Lake Cook Rd
Ste 230
Deerfield, IL 60015
Phone (847) 318-3191

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1013253145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD",
            "address_2": "SUITE 230",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-780-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD",
            "address_2": "SUITE 230",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-680-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREA BARMISH MAZZA & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BARMISH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-780-6442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071007754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Anxiety & OCD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.