Advance Neuro Psychology and Assessment, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ADVANCE NEURO PSYCHOLOGY AND ASSESSMENT, INC

Practice address

3100 Dundee Rd Ste 403
Northbrook, IL 60062-2452

Phone

(847) 907-5010

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Anastasia Atkinson

Title

President

Phone

(708) 558-5533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1063017366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 403",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622452",
            "telephone_number": "847-907-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 403",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622452",
            "telephone_number": "847-907-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE NEURO PSYCHOLOGY AND ASSESSMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-558-5533"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M Adler, MA COUNSELING PSY
• Lea Adolphs
• Janelle L Adomeit, DPT
• Corenna Lee Aduna, CPHT
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• All providers in Northbrook, IL
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.