Individual provider Active NPI

Anne Guinta, PSY.D.

  • Clinical Psychologist
  • Western Springs, IL
National Provider Identifier
1093906349
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009054 Issued in IL
Practice address
4365 Lawn Ave
Suite 8
Western Springs, IL 60558-1465
Phone
(773) 888-2602
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009054 IL Primary

Addresses

Primary practice location

4365 Lawn Ave
Suite 8
Western Springs, IL 60558-1465

Mailing address

4365 Lawn Ave
Suite 8
Western Springs, IL 60558-1465
Phone (773) 888-2602

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071009054ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Psychology Associates, PC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1093906349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 LAWN AVE",
            "address_2": "SUITE 8",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581465",
            "telephone_number": "773-888-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 LAWN AVE",
            "address_2": "SUITE 8",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581465",
            "telephone_number": "773-888-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINTA",
        "first_name": "ANNE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; 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.