Organization Active NPI

New Day Psychology LLC

  • Clinical Psychologist
  • Highland Park, IL
National Provider Identifier
1447538160
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007907 Issued in IL
Legal business name
NEW DAY PSYCHOLOGY LLC
Practice address
580 Roger Williams Ave
#22
Highland Park, IL 60035-4823
Phone
(847) 980-8707
NPI assigned
Jul 29, 2011
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Vered DorNPI 1730479916
Title
Owner
Phone
(847) 980-8707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071007907 IL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 071007907 IL

Addresses

Primary practice location

580 Roger Williams Ave
#22
Highland Park, IL 60035-4823

Mailing address

580 Roger Williams Ave
#22
Highland Park, IL 60035-4823
Phone (847) 980-8707

National Provider Directory

National Provider Directory

Locations

580 Roger Williams Ave
Ste 22
Highland Park, IL 60035
Phone (847) 433-2020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1447538160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 ROGER WILLIAMS AVE",
            "address_2": "#22",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354823",
            "telephone_number": "847-980-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ROGER WILLIAMS AVE",
            "address_2": "#22",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354823",
            "telephone_number": "847-980-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAY PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "DOR",
        "authorized_official_first_name": "VERED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-980-8707",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007907",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071007907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.