Active NPI
Hannah L Frisch, PHD
- Psychologist
- Chicago, IL
National Provider Identifier
1063565331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 712166
- Practice address
- 4933 S Dorchester
Chicago, IL 60615 - Phone
- (773) 924-5057
- Fax
- (773) 924-2738
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 712166 | IL | Primary |
Addresses
Primary practice location
4933 S Dorchester
Chicago, IL 60615
Mailing address
4933 S Dorchester
Chicago, IL 60615
Phone (773) 924-5057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 712166 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293753600000",
"number": "1063565331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4933 S DORCHESTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60615",
"telephone_number": "773-924-5057",
"fax_number": "773-924-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 S DORCHESTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60615",
"telephone_number": "773-924-5057",
"fax_number": "773-924-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISCH",
"first_name": "HANNAH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2010-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "712166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.