Individual provider Active NPI

Brenda Ann Husfeldt, PHD

  • Psychologist
  • Skokie, IL
National Provider Identifier
1487723367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
9933 Lawler Ave
Suite 314
Skokie, IL 60077
Phone
(847) 502-3706
Fax
(847) 919-3919
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP2966 MN
Psychologist 103T00000X IL Primary

Addresses

Primary practice location

9933 Lawler Ave
Suite 314
Skokie, IL 60077

Mailing address

PO Box 617
Northbrook, IL 60065
Phone (847) 502-3706

Other identifiers 1

IdentifierTypeStateIssuer
37609OtherMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040809000031 IL Practitioner - Clinical Psychologist 9830161132 Reassigns benefits to 1 organization
I20170125003034 MN Practitioner - Clinical Psychologist 9830161132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9933 Lawler Ave
Suite 314
Skokie, IL 60077-3773
Phone (847) 502-3706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jan 2, 2017 Accepting new patients
Brenda Ann Husfeldt PHD LTD Psychologist CurrentSince Nov 1, 2005 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Psychologist CurrentSince Jan 2, 2017 Accepting new patients

Locations

9933 Lawler Ave
Ste 314
Skokie, IL 60077
Phone (773) 520-9725

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

225 Smith Ave N
Ste 300
Saint Paul, MN 55102
Phone (651) 241-5000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487723367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60065",
            "telephone_number": "847-502-3706",
            "fax_number": "847-919-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 314",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-502-3706",
            "fax_number": "847-919-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSFELDT",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2966",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "37609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.