NPIMap

Organization Active NPI

Rebecca Wynne Denosaquo-Murray

Doing business as Rebecca DeNosaquo

  • Clinical Psychologist
  • Winnetka, IL
National Provider Identifier
1407226855
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007453 Issued in IL
Legal business name
REBECCA WYNNE DENOSAQUO-MURRAY
Doing business as
Rebecca DeNosaquo
Practice address
545 Lincoln Ave
Suite 15
Winnetka, IL 60093-2349
Phone
(847) 275-3389
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Rebecca Denosaquo, PSY.D.
Title
Clinical Psychologist
Phone
(847) 275-3389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.007453 IL Primary

Addresses

Primary practice location

545 Lincoln Ave
Suite 15
Winnetka, IL 60093-2349

Mailing address

902 N Moki LN
Mount Prospect, IL 60056-1927
Phone (847) 275-3389

Other names 1

  • Rebecca DeNosaquo Doing business as

National Provider Directory

National Provider Directory

Locations

545 Lincoln Ave
Ste 15
Winnetka, IL 60093
Phone (847) 441-0120

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1407226855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N MOKI LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561927",
            "telephone_number": "847-275-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 LINCOLN AVE",
            "address_2": "SUITE 15",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932349",
            "telephone_number": "847-275-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA WYNNE DENOSAQUO-MURRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "DENOSAQUO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-275-3389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca DeNosaquo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.