Active NPI
Lindsey Quisenberry, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1134511272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9362
- Practice address
- 1100 S Hamilton Ave
Chicago, IL 60612-4207 - Phone
- (312) 433-4925
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- No
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 | PY9362 | FL | Primary |
Addresses
Primary practice location
1100 S Hamilton Ave
Chicago, IL 60612-4207
Mailing address
501 Goodlette Rd N
Ste A202
Naples, FL 34102-4894
Phone (239) 732-5959
Other names 1
- Lindsey Korenthal
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY9362 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a Harrison PHD & Assoc | 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.
-
- Clinical Psychologist
- Naples, FL
- NPI 1700942091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1134511272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 GOODLETTE RD N",
"address_2": "STE A202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341024894",
"telephone_number": "239-732-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S HAMILTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124207",
"telephone_number": "312-433-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUISENBERRY",
"first_name": "LINDSEY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "KORENTHAL",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 22, 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.