Eleanor Aisenberg, Psy.D. Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005758 Issued in IL

Legal business name

ELEANOR AISENBERG, PSY.D. INC.

Practice address

10024 Skokie Blvd
Suite 312
Skokie, IL 60077-1025

Phone

(312) 972-9994

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Eleanor Aisenberg, PSY.D.NPI 1033218649

Title

President

Phone

(312) 972-9994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleanor Aisenberg, PSY. D.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1033218649
  Medicare reassignment NPD Authorized official
• Michael Aisenberg, PSY.D.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1356381529
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1255518700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 MADISON ST.",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "312-972-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 312",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771025",
            "telephone_number": "312-972-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR AISENBERG, PSY.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "AISENBERG",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-972-9994",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina L Eisman, LCSW
• Eitan Schwarz, MD, SC
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• Siegal Eli-Gers, LCSW

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, 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 24, 2008; 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.

Verify at the official NPI Registry.