Individual provider Active NPI

Barbara Danis, PHD

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
National Provider Identifier
1376767202
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071006252 Issued in IL
Practice address
4256 N Ravenswood Ave
Suite 210
Chicago, IL 60613-1110
Phone
(773) 251-5178
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 071006252 IL Primary

Addresses

Primary practice location

4256 N Ravenswood Ave
Suite 210
Chicago, IL 60613-1110

Mailing address

4256 N Ravenswood Ave
Suite 210
Chicago, IL 60613-1110
Phone (773) 251-5178

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071006252ILMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Child and Family Services Past Accepting new patients
The Family Institute PastSince Jun 6, 2016 Accepting new patients

Organizations & group practices 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1376767202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 N RAVENSWOOD AVE",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131110",
            "telephone_number": "773-251-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 N RAVENSWOOD AVE",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131110",
            "telephone_number": "773-251-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIS",
        "first_name": "BARBARA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071006252",
            "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 Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.