Barry M Leavitt and Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003655 Issued in IL

Legal business name

BARRY M LEAVITT AND ASSOCIATES

Practice address

790 Frontage Rd
Northfield, IL 60093-1204

Phone

(847) 441-4111

NPI assigned

Nov 5, 2009

Last updated

Nov 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry M Leavitt, PSYDNPI 1588667315

Title

President

Phone

(847) 441-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry M Leavitt, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1588667315
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1073840484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931204",
            "telephone_number": "847-441-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931204",
            "telephone_number": "847-441-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M LEAVITT AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-441-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Mokrzycka-Pys, DC, S.C. (Center for Musculoskeletal Care)
• Amanda Barr
• Freya H Barr, LCSW
• Leilani Raquel Barrera
• Elizabeth Barrow
• Olivia Bayer, MOT, OTR/L
• Nina Becker
• Jeanne D. Beckman, PH.D.
• Cortney Behmer
• Diane Behnke, MS CPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.