Active NPI
Frank A Rowe Jr., PH.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1023156015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 71002115
- Practice address
- 544 North Cityfront Plaza Drive
24TH Floor
Chicago, IL 60612 - Phone
- (312) 595-4008
- Fax
- (773) 722-6408
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 71002115 | IL | Primary |
Addresses
Primary practice location
544 North Cityfront Plaza Drive
24TH Floor
Chicago, IL 60612
Mailing address
2406 Grant St
Evanston, IL 60201-2110
Phone (847) 475-7631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71002115 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002115 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023156015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 GRANT ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012110",
"telephone_number": "847-475-7631",
"fax_number": "773-722-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 NORTH CITYFRONT PLAZA DRIVE",
"address_2": "24TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-595-4008",
"fax_number": "773-722-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "FRANK",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "71002115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71002115",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.