Individual provider Active NPI

Laurie Helen Philipps, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Arlington Heights, IL
National Provider Identifier
1386857985
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071-4571 Issued in IL
Practice address
1226 N Dunton Ave
Arlington Heights, IL 60004-4725
Phone
(847) 856-7230
Fax
(847) 856-7330
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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 071-4571 IL Primary

Addresses

Primary practice location

1226 N Dunton Ave
Arlington Heights, IL 60004-4725

Mailing address

1650 N Arlington HTS Rd #101
Arlington HTS, IL 60004-3961
Phone (847) 754-9343

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
I20090409000341 IL Practitioner - Clinical Psychologist 6901953959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1650 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3961
Phone (847) 754-9343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-4571ILMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Targeted Learning Solutions, Inc. CurrentSince Jun 17, 2010 Accepting new patients

Locations

1655 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (312) 786-9773

1655 N Arlington Heights Rd
Ste 202E
Arlington Heights, IL 60004
Phone (847) 222-0793

1650 N Arlington Heights Rd
Ste 101
Arlington Heights, IL 60004
Phone (847) 754-9343

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1386857985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N ARLINGTON HTS RD #101",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600043961",
            "telephone_number": "847-754-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044725",
            "telephone_number": "847-856-7230",
            "fax_number": "847-856-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPS",
        "first_name": "LAURIE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071-4571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.