Active NPI
Laurette M Ferraresi, PH.D.
- Clinical Psychologist
- Lincolnshire, IL
National Provider Identifier
1104867639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005957
- Practice address
- 100 Village GRN Ste 220
Lincolnshire, IL 60069-3095 - Phone
- (312) 307-8367
- Fax
- (866) 626-4579
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-005957 | IL | Primary |
Addresses
Primary practice location
100 Village GRN Ste 220
Lincolnshire, IL 60069-3095
Mailing address
284 Charal LN
Highland Park, IL 60035-5102
Phone (312) 307-8367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000449 | IL | Practitioner - Clinical Psychologist | 1759438435 | Practice locations: Highland Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
284 Charal Lane
Highland Park, IL 60035-5102
284 Charal LN
Highland Park, IL 60035-5102
Phone (312) 307-8367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-005957 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurette Ferraresi, PH.D. | Current | Accepting new patients | |
| Aspen Behavioral Care | Clinical | Past | Accepting new patients |
Locations
100 Village Grn
Ste 220
Lincolnshire, IL 60069
Phone (847) 415-5077
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincolnshire, IL
- NPI 1265164073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1104867639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 CHARAL LN",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355102",
"telephone_number": "312-307-8367",
"fax_number": "866-626-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE GRN STE 220",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693095",
"telephone_number": "312-307-8367",
"fax_number": "866-626-4579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARESI",
"first_name": "LAURETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnshire, IL
- Expert Family Eyecare LLC
- Eyesee LLC
- Faan Yeen Sidor, Psy.D. LTD
- Patricia Carol Feldman, RPH
- Deborah Marie Feltman, M.D.
- Field Home Care, LLC (Right at Home of North Suburban Chicago)
- Forefront Dermatology, S.C. (Advanced Dermatology, A Forefront Dermatology Practice)
- Charles Edward Frank, MD
- Arie Friedman
- Danielle Gelfond, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.