Northwestern Neuropsychology Institute, S.C

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071006935 Issued in IL

Legal business name

NORTHWESTERN NEUROPSYCHOLOGY INSTITUTE, S.C

Doing business as

Randa Sabbagha

Practice address

680 N Lake Shore Dr
Suite 925
Chicago, IL 60611-4546

Phone

(312) 664-6860

Fax

(857) 295-8745

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Freda N Lindsey

Title

Administrator

Phone

(773) 735-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Randa Sabbagha Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randa Sabbagha, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1154514214

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1649467267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11690",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606110690",
            "telephone_number": "773-735-2110",
            "fax_number": "773-735-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-664-6860",
            "fax_number": "857-295-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN NEUROPSYCHOLOGY INSTITUTE, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-735-2110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071006935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "071006935",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randa Sabbagha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwestern Memorial Physicians Group
• Northwestern Memorial Physicians Group (NMPG (Secondary))
• Northwestern Memorial Physicians Group (NMPG)
• Northwestern Nasal & Sinus
• Northwestern Neurology Associates
• Northwestern Neurosurgical Associates., S.C.
• Northwestern Obstetrics and Gynecology Consultants, LLC
• Northwestern Oral & Maxillofacial Surgeons PC
• Northwestern Orthopaedic Institute
• Northwestern Orthopaedic Institute, LLC

• Clinical Neuropsychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.