Active NPI
James R Iberg
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1528357415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.002641
- Legal business name
- JAMES R IBERG
- Practice address
- 180 N Michigan Ave
Suite 2404
Chicago, IL 60601-7401 - Phone
- (847) 864-0303
- NPI assigned
- Mar 31, 2011
- Last updated
- Mar 31, 2011
- 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
- Dr. James R Iberg, PHD
- Title
- Clinical Psychologist
- Phone
- (847) 864-0303
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.002641 | IL | Primary |
Addresses
Primary practice location
180 N Michigan Ave
Suite 2404
Chicago, IL 60601-7401
Mailing address
2009 McDaniel Ave
Evanston, IL 60201-2124
Phone (847) 864-0303
Other names 1
- Empathywork Affiliated Specialists
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1184679912
-
- Professional Counselor
- Chicago, IL
- NPI 1457628257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301529600000",
"number": "1528357415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 MCDANIEL AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012124",
"telephone_number": "847-864-0303",
"fax_number": "847-475-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N MICHIGAN AVE",
"address_2": "SUITE 2404",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017401",
"telephone_number": "847-864-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES R IBERG",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A",
"authorized_official_last_name": "IBERG",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-864-0303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.002641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empathywork Affiliated Specialists",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.