Individual provider Active NPI

Anneli Riismaa, LP

  • Psychologist
  • Schaumburg, IL
National Provider Identifier
1326209917
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071.008881 Issued in IL
Practice address
1325 Remington Rd.
Suite R
Schaumburg, IL 60173
Phone
(646) 483-6819
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 071.008881 IL Primary

Addresses

Primary practice location

1325 Remington Rd.
Suite R
Schaumburg, IL 60173

Mailing address

1325 Remington Rd.
Suite R
Schaumburg, IL 60173
Phone (646) 483-6819

Other identifiers 1

IdentifierTypeStateIssuer
870299862OtherILLDSFS

Other names 1

  • Anneli Raud Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718003116 IL Practitioner - Clinical Psychologist 6608123989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Riismaa Psychological Services IncGroup PAC ID 1153678438, 2 clinicians

Practice addresses (Care Compare)

1325 Remington Rd
Suite R
Schaumburg, IL 60173-4815
Phone (847) 772-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.008881ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riismaa Psychological Services, Inc. CurrentSince Apr 14, 2018 Accepting new patients

Locations

2 W Talcott Rd
Ste 22
Park Ridge, IL 60068
Phone (847) 696-7334

1325 Remington Rd
Ste R
Schaumburg, IL 60173
Phone (646) 483-6819

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1326209917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 REMINGTON RD.",
            "address_2": "SUITE R",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "646-483-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 REMINGTON RD.",
            "address_2": "SUITE R",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "646-483-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIISMAA",
        "first_name": "ANNELI",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.008881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LDSFS",
            "identifier": "870299862",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNELI",
            "last_name": "RAUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.