Active NPI
Aoibheann Elizaveta Emmerson Sparrow, PSYD
- Clinical Psychologist
- Naperville, IL
National Provider Identifier
1235799073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0000
- Practice address
- 2948 Artesian Rd Ste 112
Naperville, IL 60564-8559 - Phone
- (630) 428-7890
- NPI assigned
- Jun 14, 2019
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0000 | IL | Primary |
Addresses
Primary practice location
2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Mailing address
2948 Artesian Rd # Suire112
Naperville, IL 60564-8558
Phone (630) 428-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients |
Locations
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Organizations & group practices 2
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.
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1235799073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 ARTESIAN RD # SUIRE112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648558",
"telephone_number": "630-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2948 ARTESIAN RD STE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648559",
"telephone_number": "630-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARROW",
"first_name": "AOIBHEANN",
"middle_name": "ELIZAVETA EMMERSON",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2019-06-14",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "0000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.