Active NPI
Andrea Saul, DNP, NPI
- Psychiatric/Mental Health Nurse Practitioner
- Algonquin, IL
National Provider Identifier
1639513153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209021943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180008580 | IL | MD | Professional Counselor |
| 071008694 | IL | MD | Clinical Psychologist |
| 041417556 | IL | MD | Registered Nurse |
| 209021943 | IL | MD | Psychiatric/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.