Active NPI
Brenda Lee Danielson, PSY.D.
- Clinical Psychologist
- North Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009938
- Practice address
- 3001 Green Bay Rd
North Chicago, IL 60064-3048 - Phone
- (847) 688-1900
- NPI assigned
- Feb 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009938 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 2679-57 | WI |
Addresses
Primary practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Mailing address
2420 Palazzo Dr
Buffalo Grove, IL 60089-4675
Phone (224) 515-0556
Other practice location 1
400 Central Ave Ste 250
Northfield, IL 60093-3024
Phone (224) 515-0556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1051 Perimeter Dr
Suite 700
Schaumburg, IL 60173-5855
Phone (800) 693-1916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009938 | IL | MD | Clinical Psychologist |
| 2679-57 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ostara Psychotherapy Associates | Clinical | Current | Accepting new patients |
Locations
400 Central Ave
Ste 250
Northfield, IL 60093
Phone (847) 350-8277
Organizations & group practices 2
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.
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
IL
-
- Clinical Psychologist
- Northfield, IL
- NPI 1881556603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1477792877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 PALAZZO DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894675",
"telephone_number": "224-515-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643048",
"telephone_number": "847-688-1900"
}
],
"practiceLocations": [
{
"address_1": "400 Central Ave Ste 250",
"address_purpose": "LOCATION",
"city": "Northfield",
"state": "IL",
"postal_code": "600933024",
"country_code": "US",
"telephone_number": "224-515-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELSON",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009938",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2679-57",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.