NPIMap

Organization Active NPI

Polina Reyngold, LTD

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1649644071
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18005056 Issued in IL
Legal business name
POLINA REYNGOLD, LTD
Practice address
636 Church St
Suite 515
Evanston, IL 60201-4508
Phone
(773) 294-0176
NPI assigned
Nov 23, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dr. Polina Reyngold, PSYDNPI 1326012816
Title
President
Phone
(773) 294-0176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18005056 IL Primary

Addresses

Primary practice location

636 Church St
Suite 515
Evanston, IL 60201-4508

Mailing address

636 Church St
Suite 515
Evanston, IL 60201-4508

National Provider Directory

National Provider Directory

Locations

622 Davis St
Ste 200
Evanston, IL 60201
Phone (773) 294-0176

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1649644071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 515",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 515",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "773-294-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLINA REYNGOLD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "REYNGOLD",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-294-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "18005056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.