Organization Active NPI

Hinsdale Psychological Resources, LTD.

  • Professional Counselor
  • Hinsdale, IL
National Provider Identifier
1033190715
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HINSDALE PSYCHOLOGICAL RESOURCES, LTD.
Practice address
333 Chestnut St
Ste 206
Hinsdale, IL 60521-3247
Phone
(630) 850-9650
Fax
(630) 850-9607
NPI assigned
Nov 9, 2005
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Patricia J. Andrise, PH.D.NPI 1669455408
Title
Owner
Phone
(630) 850-9650

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X IL Primary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X IL

Addresses

Primary practice location

333 Chestnut St
Ste 206
Hinsdale, IL 60521-3247

Mailing address

333 Chestnut St
Ste 206
Hinsdale, IL 60521-3247
Phone (630) 850-9650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000446 IL Part B Supplier - Clinic/Group Practice 5395832448 Receives reassigned benefits from 1 practitioner
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

107 S Vine St
Hinsdale, IL 60521
Phone (630) 850-9650

333 W Chestnut St
Ste 206
Hinsdale, IL 60521
Phone (630) 674-6705

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1033190715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST",
            "address_2": "STE 206",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213247",
            "telephone_number": "630-850-9650",
            "fax_number": "630-850-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST",
            "address_2": "STE 206",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213247",
            "telephone_number": "630-850-9650",
            "fax_number": "630-850-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE PSYCHOLOGICAL RESOURCES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ANDRISE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-850-9650",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.