Active NPI
Zerbrina Eleanor Valdespino Hayden, PHD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1376223495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5082-57
- Practice address
- 325 S Paulina St FL 2
Chicago, IL 60612-3206 - Phone
- (312) 942-0779
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5082-57 | WI | Primary |
Addresses
Primary practice location
325 S Paulina St FL 2
Chicago, IL 60612-3206
Mailing address
545 W Miner St Apt 1E
Arlington Heights, IL 60005-1393
Phone (630) 802-4716
Other practice location 1
2201 SE Loop 820
Fort Worth, TX 76119-5863
Phone (832) 208-4047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5082-57 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1376223495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 W MINER ST APT 1E",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051393",
"telephone_number": "630-802-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S PAULINA ST FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123206",
"telephone_number": "312-942-0779"
}
],
"practiceLocations": [
{
"address_1": "2201 SE Loop 820",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761195863",
"country_code": "US",
"telephone_number": "832-208-4047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDESPINO HAYDEN",
"first_name": "ZERBRINA",
"middle_name": "ELEANOR",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "5082-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.