NPIMap

Organization Active NPI

Marlene Brusko Psy.D.

  • Clinical Psychologist
  • Palatine, IL
National Provider Identifier
1083899512
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
71003717 Issued in IL
Legal business name
MARLENE BRUSKO PSY.D.
Practice address
228 E Northwest Hwy
Palatine, IL 60067-8107
Phone
(847) 985-1678
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Marlene Brusko, PSY.D.NPI 1013091016
Title
Owner
Phone
(847) 985-1678

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 71003717 IL Primary

Addresses

Primary practice location

228 E Northwest Hwy
Palatine, IL 60067-8107

Mailing address

228 E Northwest Hwy
Palatine, IL 60067-8107
Phone (847) 985-1678

National Provider Directory

National Provider Directory

Locations

228 E Northwest Hwy
Palatine, IL 60067
Phone (847) 686-0296

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1083899512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678107",
            "telephone_number": "847-985-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678107",
            "telephone_number": "847-985-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE BRUSKO PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BRUSKO",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-985-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71003717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.