Organization Active NPI

Joan Durlacher, Psy.D., LTD.

  • Psychologist
  • Arlington Heights, IL
National Provider Identifier
1043533839
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
060006878 Issued in IL
Legal business name
JOAN DURLACHER, PSY.D., LTD.
Practice address
314 N Dryden PL
Arlington Heights, IL 60004-6314
Phone
(847) 870-0011
Fax
(847) 870-0225
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Joan Marie Durlacher, PSYDNPI 1851402176
Title
President / Clinical Psychologist
Phone
(847) 870-0011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 060006878 IL Primary

Addresses

Primary practice location

314 N Dryden PL
Arlington Heights, IL 60004-6314

Mailing address

314 N Dryden PL
Arlington Heights, IL 60004-6314
Phone (847) 870-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000729 IL Part B Supplier - Clinic/Group Practice 5799819470 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL; Skokie, IL

National Provider Directory

National Provider Directory

Locations

120 W Eastman St
Ste 200
Arlington Heights, IL 60004
Phone (847) 721-5454

Practitioners & affiliated clinicians

Practitioners 1

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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1043533839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N DRYDEN PL",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046314",
            "telephone_number": "847-870-0011",
            "fax_number": "847-870-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N DRYDEN PL",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046314",
            "telephone_number": "847-870-0011",
            "fax_number": "847-870-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN DURLACHER, PSY.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "DURLACHER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT / CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-870-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "060006878",
            "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 Mar 8, 2010; 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.