Anthony M Dejoseph, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003731 Issued in IL

Practice address

6201 Cermak Rd Ste 2
Berwyn, IL 60402-5743

Phone

(708) 214-7172

Fax

(708) 366-5556

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Associates in Behavioral Science Professional name

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Behavioral Science LTDGroup PAC ID 5698739126, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associates in Behavioral Science, LTD.

  • Clinical Psychologist
  • Berwyn, IL
  • NPI 1245459395
  Medicare reassignment Care Compare group NPD Authorized official
• 2014 Health, LLC

  • Psychiatric Hospital
  • Des Plaines, IL
  • NPI 1083021877

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1154440519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 CERMAK RD STE 2",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025743",
            "telephone_number": "708-214-7172",
            "fax_number": "708-366-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CERMAK RD STE 2",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025743",
            "telephone_number": "708-214-7172",
            "fax_number": "708-366-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJOSEPH",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASSOCIATES IN",
            "last_name": "SCIENCE",
            "middle_name": "BEHAVIORAL",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jake Ryan Debosschere, DO
• Mohammad Jamal Deen, CRNA
• Rekik Abebe Degef
• Rebecca Christine Dehoek, MD
• Victor E Dejesus, DPT
• Charito M Delatorre, MD
• Alexander D. Delos Reyes Jr., M.D.
• Denise Pedroza Sandoval LCPC LLC
• Theresa Christine Denk, MNT
• Dennis Michael Wolf, M.D., LTD.

• Clinical Psychologist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.

Verify at the official NPI Registry.