Active NPI
Aishah Asma Yanssaneh, MD
- Psychiatry Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.153366
- Practice address
- 19990 Governors Hwy
Olympia Fields, IL 60461-1021 - Phone
- (877) 692-8686
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125070818 | IL | |
| Psychiatry Physician | 2084P0800X | 036.153366 | IL | Primary |
Addresses
Primary practice location
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Phone (877) 692-8686
Other practice location 1
8800 Lockwood Ave
Skokie, IL 60077-1500
Phone (773) 761-0300
Other practice location 2
2424 W Peterson Ave
Chicago, IL 60659-4100
Phone (773) 761-0300
Other practice location 3
1747 W Roosevelt Rd
Chicago, IL 60608-1264
Phone (312) 996-7723
Other practice location 4
2501 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-0300
Other practice location 5
8321 W Golf Rd
Niles, IL 60714-1113
Phone (773) 761-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.153366 | IL | MD | Psychiatry Physician |
| 125070818 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Yanssaneh PLLC | Psychiatry | Current | Accepting new patients |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
1245 S Michigan Ave
Chicago, IL 60605
Phone (312) 521-0167
Interoperability endpoints
- ayanssaneh29747@hhsc.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1730051194
-
- Health Educator
- Chicago, IL
- NPI 1811824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1417485525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19990 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611021",
"telephone_number": "877-692-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19990 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611021",
"telephone_number": "877-692-8686"
}
],
"practiceLocations": [
{
"address_1": "8800 Lockwood Ave",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600771500",
"country_code": "US",
"telephone_number": "773-761-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 W Peterson Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606594100",
"country_code": "US",
"telephone_number": "773-761-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1747 W Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081264",
"country_code": "US",
"telephone_number": "312-996-7723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 W PETERSON AVE",
"address_purpose": "LOCATION",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60659",
"country_code": "US",
"telephone_number": "773-761-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8321 W Golf Rd",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "IL",
"postal_code": "607141113",
"country_code": "US",
"telephone_number": "773-761-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANSSANEH",
"first_name": "AISHAH",
"middle_name": "ASMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2023-03-15",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "125070818",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.153366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.