Individual provider Active NPI

Aishah Asma Yanssaneh, MD

  • Psychiatry Physician
  • Olympia Fields, IL
National Provider Identifier
1417485525
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.153366 Issued in IL
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

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118001093 IL Practitioner - Psychiatry 4385912682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.153366ILMDPsychiatry Physician
125070818ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Yanssaneh PLLC Psychiatry CurrentSince Aug 9, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.