Active NPI
Katherine Fruhauff, PSYD, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, IL
National Provider Identifier
1659842417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KATHERINE FRUHAUFF, PSYD, INC.
- Practice address
- 2530 Crawford Ave Ste 104
Evanston, IL 60201-4954 - Phone
- (224) 408-0019
- NPI assigned
- Dec 5, 2018
- Last updated
- Feb 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Fruhauff, PSYD
- Title
- Owner
- Phone
- (224) 408-0019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2530 Crawford Ave Ste 104
Evanston, IL 60201-4954
Mailing address
2138 Brummel St
Evanston, IL 60202-3608
Phone (847) 219-2615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2530 Crawford Ave
Ste 210
Evanston, IL 60201
Phone (224) 202-7616
990 Grove St
Ste 501
Evanston, IL 60201
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1811623580
-
- Clinical Psychologist
- Evanston, IL
- NPI 1285804757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551312000000",
"number": "1659842417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 BRUMMEL ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023608",
"telephone_number": "847-219-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE STE 104",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014954",
"telephone_number": "224-408-0019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE FRUHAUFF, PSYD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-05",
"last_updated": "2019-02-28",
"status": "A",
"authorized_official_last_name": "FRUHAUFF",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-408-0019",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.