Northshore Integrative Healthcare

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NORTHSHORE INTEGRATIVE HEALTHCARE

Practice address

455 S Roselle Rd
Suite 104
Schaumburg, IL 60193-2971

Phone

(847) 920-4644

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth LoflandNPI 1255406567

Title

President

Phone

(847) 920-4644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Kenneth Robert Lofland, PHD

  • Psychologist
  • Chicago, IL
  • NPI 1255406567
  Medicare reassignment NPD Authorized official
• Terry L Wright, PSY.D.

  • Psychologist
  • Glen Ellyn, IL
  • NPI 1255466488
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1447547211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1592",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600156009",
            "telephone_number": "847-920-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S ROSELLE RD",
            "address_2": "SUITE 104",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932971",
            "telephone_number": "847-920-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE INTEGRATIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "LOFLAND",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-920-4644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordstrom Inc & Subsidiaries
• Noreila Healing and Wellness, LLC
• Lindbergh Norris II, DDS
• Northland Hearing Centers, Inc.
• Northshore Home Health Care, Inc.
• Northwest Internal Medicine , S.C.
• Northwest Internal Medicine Group LLC
• Northwest Neuropsychology Incorporated
• Northwest Pediatrics
• Northwest Physical Medicine

• Clinical Psychologist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.