Active NPI
Yisroel Brownstein, DR.. OF PSYCHOLOGY
- Clinical Neuropsychologist
- Chicago, IL
National Provider Identifier
1134491087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 6933 N Kedzie Ave
Unit #616
Chicago, IL 60645-2896 - Phone
- (773) 415-2078
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
6933 N Kedzie Ave
Unit #616
Chicago, IL 60645-2896
Mailing address
6933 N Kedzie Ave
Unit #616
Chicago, IL 60645-2896
Phone (773) 415-2078
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1134491087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6933 N KEDZIE AVE",
"address_2": "UNIT #616",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606452896",
"telephone_number": "773-415-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6933 N KEDZIE AVE",
"address_2": "UNIT #616",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606452896",
"telephone_number": "773-415-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNSTEIN",
"first_name": "YISROEL",
"credential": "DR.. OF PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"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 Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.