NPIMap

Organization Active NPI

Denise a Fiducia, PHD & Associates, LLC

  • Clinical Neuropsychologist
  • Arlington Heights, IL
National Provider Identifier
1023323045
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071003832 Issued in IL
Legal business name
DENISE A FIDUCIA, PHD & ASSOCIATES, LLC
Practice address
855 E Golf Rd
2139
Arlington Heights, IL 60005-5222
Phone
(847) 373-0991
Fax
(800) 207-5381
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Tracy L Freeze
Title
Practice Manager
Phone
(219) 926-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 071003832 IL Primary

Addresses

Primary practice location

855 E Golf Rd
2139
Arlington Heights, IL 60005-5222

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320

National Provider Directory

National Provider Directory

Locations

2010 S Arlington Heights Rd
Ste 219
Arlington Heights, IL 60005
Phone (630) 524-9230

855 E Golf Rd
Ste 2139
Arlington Hts, IL 60005
Phone (847) 357-9158

300 Waukegan Rd
#N
Deerfield, IL 60015
Phone (847) 945-4600

501 N Riverside Dr
Ste 113
Gurnee, IL 60031

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

Practitioners & affiliated clinicians

Practitioners 6

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": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1023323045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "2139",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-373-0991",
            "fax_number": "800-207-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE A FIDUCIA, PHD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "FREEZE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "219-926-8320"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071003832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.