Individual provider Active NPI

Andrea Saul, DNP, NPI

  • Psychiatric/Mental Health Nurse Practitioner
  • Algonquin, IL
National Provider Identifier
1639513153
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209021943 Issued in IL
Practice address
2401 Harnish Dr Ste 100
Algonquin, IL 60102-6846
Phone
(847) 440-2281
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180008580 IL
Clinical Psychologist 103TC0700X 071008694 IL
Registered Nurse 163W00000X 041417556 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209021943 IL Primary

Addresses

Primary practice location

2401 Harnish Dr Ste 100
Algonquin, IL 60102-6846

Mailing address

447 Esselen CT
Carol Stream, IL 60188-9216
Phone (630) 670-3702

Other practice location 1

333 W Pierce Rd Ste 175
Itasca, IL 60143-3120
Phone (630) 773-1985

Other practice location 2

447 Esselen Ct
Carol Stream, IL 60188-9216
Phone (630) 670-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180008580ILMDProfessional Counselor
071008694ILMDClinical Psychologist
041417556ILMDRegistered Nurse
209021943ILMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1639513153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ESSELEN CT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889216",
            "telephone_number": "630-670-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HARNISH DR STE 100",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026846",
            "telephone_number": "847-440-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Pierce Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Itasca",
            "state": "IL",
            "postal_code": "601433120",
            "country_code": "US",
            "telephone_number": "630-773-1985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 Esselen Ct",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601889216",
            "country_code": "US",
            "telephone_number": "630-670-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUL",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DNP, NPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008580",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008694",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041417556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209021943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.