Individual provider Active NPI

Claire Stafford Brunegraff, PH.D.

  • Cognitive & Behavioral Psychologist
  • Glenview, IL
National Provider Identifier
1043365265
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
071002727 Issued in IL
Practice address
2300 Lehigh Ave Ste 215
Glenview, IL 60026-1692
Phone
(847) 425-6400
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 071002727 IL Primary

Addresses

Primary practice location

2300 Lehigh Ave Ste 215
Glenview, IL 60026-1692

Mailing address

2300 Lehigh Ave Ste 215
Glenview, IL 60026-1692
Phone (847) 425-6400

Other practice location 1

3850 Russett Ln
Northbrook, IL 60062-4233
Phone (847) 564-4494

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cbrunegraff229118@direct.northshore.org
Direct Messaging Address cbrunegraff229118@direct.northshore.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110811000661 IL Practitioner - Clinical Psychologist 5294904066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Current Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 8, 2011 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

9301 Golf Rd
Ste 302
Des Plaines, IL 60016
Phone (708) 296-8151

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2300 Lehigh Ave
Ste 215
Glenview, IL 60026
Phone (847) 621-7700

Interoperability endpoints

  • Direct secure messaging: cbrunegraff229118@direct.northshore.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1043365265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LEHIGH AVE STE 215",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261692",
            "telephone_number": "847-425-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LEHIGH AVE STE 215",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261692",
            "telephone_number": "847-425-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Russett Ln",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624233",
            "country_code": "US",
            "telephone_number": "847-564-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNEGRAFF",
        "first_name": "CLAIRE",
        "middle_name": "STAFFORD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071002727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrunegraff229118@direct.northshore.org",
            "affiliation": "N",
            "address_1": "3850 Russett Ln",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600624233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrunegraff229118@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2300 Lehigh Ave Ste 215",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600261692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.