North Shore Academic Solutions

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NORTH SHORE ACADEMIC SOLUTIONS

Practice address

400 Lake Cook Rd Ste 106
Deerfield, IL 60015-4929

Phone

(847) 309-7393

NPI assigned

Sep 12, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ari Goldstein, PHD

Title

Director

Phone

(847) 309-7393

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1497238760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD STE 106",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD STE 106",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154929",
            "telephone_number": "847-309-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ACADEMIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-309-7393",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Nichols, DMD
• Diane Nitzki-George, PHARMD
• Morgan D Nixon, PA-C
• Sivana Nolan
• Norman Chapman M D & Associates S C
• North Shore Balance LLC
• North Shore Behavior Corp (North Shore Behavior)
• North Shore Dance Therapy, Inc.
• North Star Therapy LLC
• North Suburban Eye Associates, LTD.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.