Individual provider Active NPI

Aimee Harris-Newon, PSY D.

  • Psychologist
  • Bloomingdale, IL
National Provider Identifier
1609944263
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1 Tiffany PT
Ste. 111
Bloomingdale, IL 60108-2936
Phone
(630) 980-1400
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IL Primary

Addresses

Primary practice location

1 Tiffany PT
Ste. 111
Bloomingdale, IL 60108-2936

Mailing address

1 Tiffany PT
Ste. 111
Bloomingdale, IL 60108-2936
Phone (630) 980-1400

Other identifiers 1

IdentifierTypeStateIssuer
02227626OtherILBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000042 IL Practitioner - Clinical Psychologist 3274553151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Integrative and Functional Health and Wellness LLCGroup PAC ID 0749513802, 4 clinicians

Practice addresses (Care Compare)

1 Tiffany PT
Suite 105
Bloomingdale, IL 60108-2915
Phone (630) 980-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005865ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative and Functional Health and Wellness LLC CurrentSince Nov 10, 2022 Accepting new patients
Affiliated Clinical Psychologists Psychologist PastSince Jul 1, 2005 Accepting new patients

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

Interoperability endpoints

  • Direct secure messaging: aimee.harris-newon.1@15066.direct.athenahealth.com

Organizations & group practices 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1609944263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "STE. 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-980-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "STE. 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-980-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-NEWON",
        "first_name": "AIMEE",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02227626",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.