Individual provider Active NPI

Alia N Ammar, PH.D.

  • Clinical Neuropsychologist
  • Lake Barrington, IL
National Provider Identifier
1144388455
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071007105 Issued in IL
Practice address
22285 N Pepper Rd Ste 401
Lake Barrington, IL 60010-2542
Phone
(847) 786-5366
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071007105 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd Ste 401
Lake Barrington, IL 60010-2542

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000440 IL Practitioner - Clinical Psychologist 3375643638 Reassigns benefits to 1 organization
Practice locations: Libertyville, IL; Rolling Meadows, IL; Lake Barrington, IL; Gurnee, IL; Elgin, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Cognition PLLCGroup PAC ID 5991227944, 2 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2542
Phone (847) 786-5366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071007105ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Cognition PLLC Clinical Neuropsychologist CurrentSince Mar 7, 2025 Accepting new patients
Clear Cognition Clinical Neuropsychologist CurrentSince Jan 1, 2009 Accepting new patients
Integrative Psyche Services, S.C. Clinical PastSince Feb 23, 2025 Accepting new patients

Locations

1710 N Randall Rd
Ste 250
Elgin, IL 60123
Phone (847) 786-5366

22285 N Pepper Rd
Ste 401
Lake Barrington, IL 60010
Phone (847) 786-5366

1800 Hollister Dr
Ste G2
Libertyville, IL 60048
Phone (847) 680-8066

1800 Hollister Dr
Ste G10
Libertyville, IL 60048
Phone (847) 786-5366

3701 Algonquin Rd
Ste 800
Rolling Meadows, IL 60008
Phone (847) 786-5366

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1144388455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 401",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102542",
            "telephone_number": "847-786-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMAR",
        "first_name": "ALIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-02-28",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071007105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.