North Shore Psychological Services LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003138 Issued in IL

Legal business name

NORTH SHORE PSYCHOLOGICAL SERVICES LTD

Practice address

900 North Shore Dr
Suite 200
Lake Bluff, IL 60044-2243

Phone

(847) 295-0340

Fax

(847) 295-0351

NPI assigned

Feb 26, 2007

Last updated

Jan 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neil D Mahoney, PHD

Title

Partner

Phone

(847) 295-0340

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James E Devine, PHD

  • Clinical Psychologist
  • Lake Forest, IL
  • NPI 1376520312
  NPD (past)
• Dinora Ingberman, MD

  • Physical Medicine & Rehabilitation Physician
  • Skokie, IL
  • NPI 1609861657
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1235265794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR",
            "address_2": "SUITE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442243",
            "telephone_number": "847-295-0340",
            "fax_number": "847-295-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PSYCHOLOGICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-295-0340",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Roe Newton, P.T.
• Shuk Ching Mable NG
• Nhi Nguyen Ta
• Hanh Duc Nguyen, RPH
• Ronit L Nissim, LPC
• North Suburban Medical Associates, LLC
• Northshore Dermatology Center SC (Tina C Venetos MD)
• Jonathan Noto, LCPC
• Mary Elizabeth O'Malley
• Donna Marie Oldenburg, LCPC, NCC, CCMHC

• Clinical Psychologist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.