Active NPI
Annette Arzt, PH.D.
- Clinical Psychologist
- Des Plaines, IL
National Provider Identifier
1649454463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 960 Rand Rd
219-A
Des Plaines, IL 60016-2352 - Phone
- (847) 824-2686
- Fax
- (847) 838-5958
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
960 Rand Rd
219-A
Des Plaines, IL 60016-2352
Mailing address
960 Rand Rd
219-A
Des Plaines, IL 60016-2352
Phone (847) 824-2686
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
95 W Grand Ave
Suite 110
Lake Villa, IL 60046-8639
Phone (847) 356-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Annette Arzt SC | Clinical | Current | Accepting new patients |
Locations
960 Rand Rd
Ste 219A
Des Plaines, IL 60016
Phone (847) 824-2686
95 W Grand Ave
Ste 110
Lake Villa, IL 60046
Phone (847) 356-3100
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Des Plaines, IL
- NPI 1992811186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1649454463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 RAND RD",
"address_2": "219-A",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162352",
"telephone_number": "847-824-2686",
"fax_number": "847-838-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 RAND RD",
"address_2": "219-A",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162352",
"telephone_number": "847-824-2686",
"fax_number": "847-838-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARZT",
"first_name": "ANNETTE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.