North Shore Wellness Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NORTH SHORE WELLNESS CENTER

Practice address

606 Academy Dr
Northbrook, IL 60062-2421

Phone

(847) 559-0680

Fax

(847) 559-0859

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leonard T Carr, M.D.NPI 1134279862

Title

President

Phone

(847) 559-0680

Specialties & licenses 1

Addresses

Tax ID family

North Shore Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Shore Wellness Center LTD

  • Psychologist
  • Palos Heights, IL
  • NPI 1609851740
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard T Carr, MD

  • Psychiatry Physician
  • Northbrook, IL
  • NPI 1134279862
  Authorized official Same address or phone

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1417196288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ACADEMY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622421",
            "telephone_number": "847-559-0680",
            "fax_number": "847-559-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ACADEMY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622421",
            "telephone_number": "847-559-0680",
            "fax_number": "847-559-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-559-0680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Labs LLC
• North Shore Medical Supply LLC
• North Shore Naprapathic Fitness & Wellness Center LLC
• North Shore Physical Wellness LTD.
• North Shore Vein Clinics LLC
• North Shore Wellness Services, LTD. (North Shore Counseling, Ltd.)
• North Star Behavioral Health, LTD
• North Suburban Center for Anxiety, LLC
• North Suburban Oral Surgery, LTD (North Suburban Center for Oral & Facial Surgery)
• North Suburban Psychologists Inc.

• Behavior Analyst in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.