Active NPI
Brenda Ann Husfeldt PHD LTD
- Psychologist
- Skokie, IL
National Provider Identifier
1497875033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BRENDA ANN HUSFELDT PHD LTD
- Practice address
- 9933 Lawler Ave
Suite 314
Skokie, IL 60077-3703 - Phone
- (773) 775-1622
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Ann Husfeldt, PHD LTD
- Title
- PHD LTD
- Phone
- (773) 775-1622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | IL | Primary |
Addresses
Primary practice location
9933 Lawler Ave
Suite 314
Skokie, IL 60077-3703
Mailing address
6547 N Avondale Ave
Suite 001
Chicago, IL 60631-1573
Phone (773) 775-1622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1611 W Harrison St
#212
Chicago, IL 60612
Phone (312) 432-2850
9933 Lawler Ave
Ste 314
Skokie, IL 60077
Phone (773) 520-9725
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Skokie, IL
- NPI 1487723367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497875033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6547 N AVONDALE AVE",
"address_2": "SUITE 001",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311573",
"telephone_number": "773-775-1622"
},
{
"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": "600773703",
"telephone_number": "773-775-1622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA ANN HUSFELDT PHD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUSFELDT",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PHD LTD",
"authorized_official_telephone_number": "773-775-1622",
"authorized_official_credential": "PHD LTD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.