Neuropsychiatric Evaluation and Treatment Center

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-069110 Issued in IL

Legal business name

NEUROPSYCHIATRIC EVALUATION AND TREATMENT CENTER

Practice address

3633 W Lake Ave
Suite 404
Glenview, IL 60026-5805

Phone

(847) 657-6007

Fax

(847) 657-6412

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Bloom, M.D.NPI 1609850932

Title

President

Phone

(847) 657-6007

Specialties & licenses 2

Addresses

Other names 1

• Insomnia Treatment Center, Ltd. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Bloom, M.D.

  • Psychiatry Physician
  • Glenview, IL
  • NPI 1609850932
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1619951860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 404",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-6007",
            "fax_number": "847-657-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 404",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-6007",
            "fax_number": "847-657-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHIATRIC EVALUATION AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-657-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-069110",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IL",
            "license": "036-069110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insomnia Treatment Center, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neukirch Vision Care LLC
• Andrew Joseph Neukirch, OD
• Thomas George Neumann, MD
• Neurology and Neurodiagnostics, LTD
• Neurology at the Glen, S.C.
• Leila Newar, OTR/L
• Kaylyn Grace Newberry
• Jean S Newton
• Next Phase of Health PLLC
• Varya Elizabeth Neyman

• Psychiatry Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.

Verify at the official NPI Registry.