Individual provider Active NPI

Rebecca Handel-Fano, PSY.D.

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1255466629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005610 Issued in IL
Practice address
1535 Lake Cook Rd Ste 112
Northbrook Court Professional Plaza
Northbrook, IL 60062-1450
Phone
(847) 942-2050
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005610 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 112
Northbrook Court Professional Plaza
Northbrook, IL 60062-1450

Mailing address

6 Plymouth CT
Lincolnshire, IL 60069-3152
Phone (847) 942-2050

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

LicenseStateTypeSpecialty
071-005610ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255466629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PLYMOUTH CT",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693152",
            "telephone_number": "847-942-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 112",
            "address_2": "NORTHBROOK COURT PROFESSIONAL PLAZA",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621450",
            "telephone_number": "847-942-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDEL-FANO",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005610",
            "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 Jul 8, 2007; 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.