Active NPI
North Shore Behavioral Health
- Clinical Psychologist
- Northbrook, IL
National Provider Identifier
1316120785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NORTH SHORE BEHAVIORAL HEALTH
- Practice address
- 900 Skokie Blvd
Suite 215
Northbrook, IL 60062-4012 - Phone
- (847) 412-1301
- Fax
- (847) 412-1306
- NPI assigned
- Dec 8, 2007
- Last updated
- Dec 8, 2007
- 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. Ely M Weinschneider, PSYD
- Title
- Clinical Psychologist
- Phone
- (847) 412-1301
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
900 Skokie Blvd
Suite 215
Northbrook, IL 60062-4012
Mailing address
900 Skokie Blvd
Suite 215
Northbrook, IL 60062-4012
Phone (847) 412-1301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636454 | Other | IL | BCBS OF IL |
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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197072000000",
"number": "1316120785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SKOKIE BLVD",
"address_2": "SUITE 215",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624012",
"telephone_number": "847-412-1301",
"fax_number": "847-412-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SKOKIE BLVD",
"address_2": "SUITE 215",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624012",
"telephone_number": "847-412-1301",
"fax_number": "847-412-1306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-08",
"last_updated": "2007-12-08",
"status": "A",
"authorized_official_last_name": "WEINSCHNEIDER",
"authorized_official_first_name": "ELY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-412-1301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "01636454",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
- Aftab Noorani, MD
- Noorani Noorani, MD
- Kayla Norell, RBT-19-79533
- Whitney Ann Norris, RBT-19-77916
- North Shore Aesthetics PC
- North Shore Center for Medical Aesthetics, LTD.
- North Shore Companions (Home Instead Senior Care)
- North Shore Endodontics, LTD.
- North Shore Family Services
- North Shore Family Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.