Alan Anthony Amberg, CNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277000055 Issued in IL

Practice address

333 N Michigan Ave Ste 2017
Chicago, IL 60601-4015

Phone

(312) 229-0029

Fax

(844) 905-1504

NPI assigned

Dec 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Alan Tony Amberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 10, 2021 through Oct 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21991/brand/1/csg/1/fhir/r4

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.

• Alan Tony Amberg PLLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1922767573
  NPD Authorized official

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1164725941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E WACKER DR STE 1764",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606012271",
            "telephone_number": "312-229-0029",
            "fax_number": "844-905-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 2017",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014015",
            "telephone_number": "312-229-0029",
            "fax_number": "844-905-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBERG",
        "first_name": "ALAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041.387237",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1922767573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "AMBERG",
            "middle_name": "TONY",
            "prefix": "MR.",
            "credential": "MSN, PMHNP-BC, APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Neba Ambe
• Ambedo Psychotherapy PLLC
• Amber E Mills DC LTD.
• Amber J Barger PSYD PLLC
• Amber Smiles
• Delilah Ambers
• Scott John Ambers, PH.D.
• Ambika Pharmacy, Inc.
• Athirai Ambikkumar
• Bhavana Ambil, MD

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.