Anxiety Treatment Center, LTD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ANXIETY TREATMENT CENTER, LTD.

Practice address

415 E Golf Rd
Suite 115
Arlington Heights, IL 60005-4078

Phone

(312) 912-9989

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A Carbonell, PH.D.

Title

Director

Phone

(312) 912-9989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356220800000",
    "number": "1215061387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E GOLF RD",
            "address_2": "SUITE 115",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054078",
            "telephone_number": "312-912-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E GOLF RD",
            "address_2": "SUITE 115",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054078",
            "telephone_number": "312-912-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY TREATMENT CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-12-23",
        "status": "A",
        "authorized_official_last_name": "CARBONELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-912-9989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2012; 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.