NPIMap

Organization Active NPI

Affiliated Clinical Psychologists Limited

  • Psychologist
  • Bloomingdale, IL
National Provider Identifier
1457547457
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AFFILIATED CLINICAL PSYCHOLOGISTS LIMITED
Practice address
1 Tiffany PT
Suite 111
Bloomingdale, IL 60108-2936
Phone
(630) 980-1400
Fax
(630) 980-1441
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Ms. Aimee Harris-Newon, PSY.D
Title
Owner
Phone
(630) 980-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1 Tiffany PT
Suite 111
Bloomingdale, IL 60108-2936

Mailing address

1 Tiffany PT
Suite 111
Bloomingdale, IL 60108-2936
Phone (630) 980-1400

Other identifiers 2

IdentifierTypeStateIssuer
02227626OtherILBLUE CROSS
215819OtherILMEDICARE GRP #

National Provider Directory

National Provider Directory

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1457547457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "SUITE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-980-1400",
            "fax_number": "630-980-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "SUITE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-980-1400",
            "fax_number": "630-980-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED CLINICAL PSYCHOLOGISTS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS-NEWON",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-980-1400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02227626",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP #",
            "identifier": "215819",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.