Andrew R. Farra, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-007609 Issued in IL

Practice address

1123 Emerson St Ste 202
Evanston, IL 60201-3100

Phone

(847) 859-9094

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ross Psychological Group, Inc.

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1003347949
  NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1457425647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 EMERSON ST STE 202",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013100",
            "telephone_number": "847-859-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 EMERSON ST STE 202",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013100",
            "telephone_number": "847-859-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRA",
        "first_name": "ANDREW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-007609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nader E Fakhoury, OD
• Marc James Falleroni, M.D.
• Ayesha Fareeduddin, MD
• Linda Fargano, LCSW
• Marius C. Farkas, DMD
• Robert Ross Farra, PH.D.
• Abigail Farrell, PHD
• Elaine Farrell, MD
• Laurie J. Farrell, PA-C
• Claire K Farren, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.