Active NPI
Laurette Ferraresi, PH.D.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincolnshire, IL
National Provider Identifier
1265164073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LAURETTE FERRARESI, PH.D.
- Doing business as
- Laurette Ferraresi, Ph.D.
- Practice address
- 100 Village GRN Ste 220
Lincolnshire, IL 60069-3095 - Phone
- (312) 307-8367
- NPI assigned
- Jun 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurette Ferraresi, PH.D.
- Title
- Owner
- Phone
- (312) 307-8367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
100 Village GRN Ste 220
Lincolnshire, IL 60069-3095
Mailing address
284 Charal LN
Highland Park, IL 60035-5102
Phone (312) 307-8367
Other names 1
- Laurette Ferraresi, Ph.D.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Lincolnshire, IL
- NPI 1104867639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1265164073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 CHARAL LN",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355102",
"telephone_number": "312-307-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE GRN STE 220",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693095",
"telephone_number": "312-307-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURETTE FERRARESI, PH.D.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "FERRARESI",
"authorized_official_first_name": "LAURETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-307-8367",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laurette Ferraresi, Ph.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincolnshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.