Active NPI
Robin L. Rundell, PSY.D
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1407150808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.004420
- Practice address
- 307 North Michigan Avenue
Suite 2016
Chicago, IL 60601 - Phone
- (312) 915-0056
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.004420 | IL | MD | Clinical Psychologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.004420 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
307 North Michigan Avenue
Suite 2016
Chicago, IL 60601
Mailing address
307 North Michigan Avenue
Suite 2016
Chicago, IL 60601
Phone (312) 915-0056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2010.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1407150808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 NORTH MICHIGAN AVENUE",
"address_2": "SUITE 2016",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60601",
"telephone_number": "312-915-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 NORTH MICHIGAN AVENUE",
"address_2": "SUITE 2016",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60601",
"telephone_number": "312-915-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDELL",
"first_name": "ROBIN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.004420",
"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 Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.