Eleanor Aisenberg, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005758 Issued in IL

Practice address

10024 Skokie Boulevard
Suite 312
Skokie, IL 60077

Phone

(312) 972-9994

NPI assigned

Sep 21, 2006

Last updated

Dec 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eleanor Aisenberg, Psy.D. Inc.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1255518700
  Medicare reassignment NPD Authorized official
• Wholehealth Chicago-3

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1487722666
  NPD
• Center for Psychological Services, LLC.

  • Clinical Psychologist
  • Northfield, IL
  • NPI 1548319775
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1033218649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 MADISON ST.",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "312-972-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BOULEVARD",
            "address_2": "SUITE 312",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "312-972-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISENBERG",
        "first_name": "ELEANOR",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001625467",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaheena Ahmed, D.O.
• Jonathan Ahn, M.D.
• Pauline Ahn, MD
• Antoinette V Ahr
• Ahuva Samber PLLC
• Michael Aisenberg, PSY.D.
• Aj Care Inc
• Ak United Trading Inc (Ak United Lab)
• Vasia Akkiswala, PA-C
• Olanrewaju Ademola Alabi, NP

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.