Active NPI
James M. Dod, PH.D. LTD
- Clinical Psychologist
- Northbrook, IL
National Provider Identifier
1225210974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JAMES M. DOD, PH.D. LTD
- Practice address
- 1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500 - Phone
- (847) 480-1341
- Fax
- (847) 480-1348
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James M. Dod, PH.D.
- Title
- President
- Phone
- (847) 480-1341
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500
Mailing address
1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500
Phone (847) 480-1341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040805000588 | IL | Part B Supplier - Clinic/Group Practice | 2567433113 | Practice locations: Northbrook, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Northbrook, IL
- NPI 1053465500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1225210974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SHERMER RD",
"address_2": "SUITE 208",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624500",
"telephone_number": "847-480-1341",
"fax_number": "847-480-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SHERMER RD",
"address_2": "SUITE 208",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624500",
"telephone_number": "847-480-1341",
"fax_number": "847-480-1348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES M. DOD, PH.D. LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "DOD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-480-1341",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.