Laura Lynn Viner, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.004111 Issued in IL

Practice address

1560 Sherman Ave., Suite 400
Yellowbrick
Evanston, IL 60201-4803

Phone

(847) 869-1500

Fax

(847) 869-1515

NPI assigned

Mar 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Humphrey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Yellowbrick

  • Community/Behavioral Health Agency
  • Evanston, IL
  • NPI 1770752297
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1649440645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE., SUITE 400",
            "address_2": "YELLOWBRICK",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014803",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE., SUITE 400",
            "address_2": "YELLOWBRICK",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014803",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINER",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004111",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.004111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HUMPHREY",
            "credential": "PH. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anais Villaruz, RD
• Roxana Dennise Villatoro
• Emily Villegas
• Terry Ann Dornak Viloria, PSY.D.
• Jesse L. Viner, M.D.
• Vishnu D Gaiha MD SC
• Vision Surgeons and Consultants, LTD
• Visualeyes
• Katya Viswanadhan, PSY.D
• Nhat Linh Vo, MD

• Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.