Organization Active NPI

Reema Obaid Ross LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1154700813
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008537 Issued in IL
Legal business name
REEMA OBAID ROSS LLC
Practice address
222 Merchandise Mart PLZ
Suite 4121
Chicago, IL 60654-1103
Phone
(219) 771-0625
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Dr. Reema Obaid Ross, PSY.D.NPI 1578941530
Title
Licensed Clinical Psychologist
Phone
(219) 771-0625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071008537 IL Primary

Addresses

Primary practice location

222 Merchandise Mart PLZ
Suite 4121
Chicago, IL 60654-1103

Mailing address

505 N Lake Shore Dr
Unit 3903
Chicago, IL 60611-3427
Phone (219) 771-0625

Other names 1

  • Reema Obaid Ross LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1154700813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "UNIT 3903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "219-771-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MERCHANDISE MART PLZ",
            "address_2": "SUITE 4121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606541103",
            "telephone_number": "219-771-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMA OBAID ROSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "OBAID ROSS",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "219-771-0625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reema Obaid Ross LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.