Active NPI
Amyansonrcn.Com Ruth Anson, PH.D.
- Clinical Psychologist
- Wilmette, IL
National Provider Identifier
1376640847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 3330 Old Glenview Road
Suite 1
Wilmette, IL 60091 - Phone
- (847) 791-5078
- Fax
- (847) 251-9330
- NPI assigned
- Sep 19, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
3330 Old Glenview Road
Suite 1
Wilmette, IL 60091
Mailing address
9020 Tripp
Skokie, IL 60076
Phone (847) 791-5078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1627266 | Other | IL | BLUE CROSS BLUE SHIELD # |
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 |
|---|---|---|---|
| 071-005222 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Anson, PH.D., & Associates, LLC | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Wilmette, IL
- NPI 1053657825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376640847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9020 TRIPP",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-791-5078",
"fax_number": "847-251-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 OLD GLENVIEW ROAD",
"address_2": "SUITE 1",
"city": "WILMETTE",
"state": "IL",
"postal_code": "60091",
"telephone_number": "847-791-5078",
"fax_number": "847-251-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSON",
"first_name": "AMYANSONRCN.COM",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "1627266",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.