Psychological Resource Center PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004534 Issued in IL

Legal business name

PSYCHOLOGICAL RESOURCE CENTER PC

Practice address

175 Olde Half Day Rd
Suite 140-2
Lincolnshire, IL 60069-3061

Phone

(708) 461-2333

Fax

(773) 751-2250

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Ira Bornstein, PSYD

Title

Owner President

Phone

(708) 461-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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
  NPD (past)
• Harvey Stell Martin III, PHD

  • Clinical Psychologist
  • Frankfort, IL
  • NPI 1760515654
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1396856134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CUMBERLAND DR",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "708-461-2333",
            "fax_number": "847-267-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD",
            "address_2": "SUITE 140-2",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693061",
            "telephone_number": "708-461-2333",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL RESOURCE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "708-461-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4932021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Pediatrics, S.C.
• Priz Therapy SVS LLC
• Protected Tomorrows
• Steven Michael Prus, PA-C
• Mary L Przanowski, LCPC
• Jana K Pundurs, DPT
• Gutjiera Rasin, FNP
• Edward Steven Ravine, LCPC
• Jill M Reed, CCC-SLP
• Maria D Reichert, M.A., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.