Children's Neuropsychological Services, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071007066 Issued in IL

Legal business name

CHILDREN'S NEUROPSYCHOLOGICAL SERVICES, P.C.

Practice address

333 N Michigan Ave Ste 2122
Chicago, IL 60601-4034

Phone

(773) 706-0940

NPI assigned

Oct 23, 2009

Last updated

Oct 23, 2009By 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

Dr. Maureen Stress Aquino, PH.D.

Title

Founder

Phone

(773) 706-0940

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1255667432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 2122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014034",
            "telephone_number": "773-706-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 2122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014034",
            "telephone_number": "773-706-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S NEUROPSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "STRESS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-706-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071007066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Chicago, IL
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• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.