North Shore Psychology Specialists, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004337 Issued in IL

Legal business name

NORTH SHORE PSYCHOLOGY SPECIALISTS, PC

Practice address

850 Blackberry CT
Gurnee, IL 60031-5112

Phone

(847) 355-5041

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Anne Hachmeister-LevinNPI 1922153725

Title

Provider

Phone

(847) 355-5041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Hachmeister Levin, PSYD

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1922153725
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1396046900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BLACKBERRY CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315112",
            "telephone_number": "847-355-5041",
            "fax_number": "630-924-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BLACKBERRY CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315112",
            "telephone_number": "847-355-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PSYCHOLOGY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "HACHMEISTER-LEVIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "847-355-5041"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Noel, MD
• Lourdes N Nogoy, DENTAL HYGIENIST
• North Lake Cardiovascular Center PC
• North Shore Allergy and Asthma, S.C.
• North Shore Naprapathics
• North Suburban Dermatology Associates,SC
• North Suburban Endodontics PC
• North Suburban Medical Office, LTD
• North Suburban Medical S.C.
• North Suburban Nephrology LLC

• Clinical Psychologist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.