NPIMap

Organization Active NPI

Chicago Neurodevelopmental Center

  • Clinical Child & Adolescent Psychologist
  • Northbrook, IL
National Provider Identifier
1427501469
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071008032 Issued in IL
Legal business name
CHICAGO NEURODEVELOPMENTAL CENTER
Practice address
601 Skokie Blvd
Suite 203
Northbrook, IL 60062-2851
Phone
(847) 272-2484
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Anne Howard, PH.D.
Title
Clinical Psychologist/Co-Owner
Phone
(847) 272-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 071008032 IL Primary

Addresses

Primary practice location

601 Skokie Blvd
Suite 203
Northbrook, IL 60062-2851

Mailing address

601 Skokie Blvd
Suite 203
Northbrook, IL 60062-2851
Phone (847) 272-2484

National Provider Directory

National Provider Directory

Locations

601 Skokie Blvd
Ste 203
Northbrook, IL 60062
Phone (847) 272-2484

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1427501469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD",
            "address_2": "SUITE 203",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622851",
            "telephone_number": "847-272-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD",
            "address_2": "SUITE 203",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622851",
            "telephone_number": "847-272-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NEURODEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CO-OWNER",
        "authorized_official_telephone_number": "847-272-2484",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071008032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.