Individual provider Active NPI

Kerry Brown Hasbrook, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Glenview, IL
National Provider Identifier
1528136157
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071.006324 Issued in IL
Practice address
2601 Compass Rd
Suite 120
Glenview, IL 60026-8077
Phone
(847) 920-5546
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 071.006324 IL Primary

Addresses

Primary practice location

2601 Compass Rd
Suite 120
Glenview, IL 60026-8077

Mailing address

2601 Compass Rd
Suite 120
Glenview, IL 60026-8077
Phone (847) 920-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 28, 2023 through Jul 28, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071.006324ILMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1528136157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD",
            "address_2": "SUITE 120",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268077",
            "telephone_number": "847-920-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD",
            "address_2": "SUITE 120",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268077",
            "telephone_number": "847-920-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBROOK",
        "first_name": "KERRY",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.006324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.