North Suburban Family Psychologists

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Legal business name

NORTH SUBURBAN FAMILY PSYCHOLOGISTS

Practice address

4433 W Touhy Ave
Suite 500
Lincolnwood, IL 60712-1820

Phone

(847) 568-9642

Fax

(847) 568-1242

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carla M Leone, PH.D.

Title

Director

Phone

(847) 568-9642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1649490517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE",
            "address_2": "SUITE 500",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121820",
            "telephone_number": "847-568-9642",
            "fax_number": "847-568-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE",
            "address_2": "SUITE 500",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121820",
            "telephone_number": "847-568-9642",
            "fax_number": "847-568-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN FAMILY PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-568-9642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.