Active NPI
William Phillips Reich, PHD
- Psychologist
- Northbrook, IL
National Provider Identifier
1669481867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071003232
- Practice address
- 666 Dundee Rd
Suite 1702
Northbrook, IL 60062-2727 - Phone
- (847) 205-1222
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071003232 | IL | Primary |
Addresses
Primary practice location
666 Dundee Rd
Suite 1702
Northbrook, IL 60062-2727
Mailing address
666 Dundee Rd
Suite 1702
Northbrook, IL 60062-2727
Phone (847) 205-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 8, 2022 through Mar 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669481867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "666 DUNDEE RD",
"address_2": "SUITE 1702",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622727",
"telephone_number": "847-205-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "666 DUNDEE RD",
"address_2": "SUITE 1702",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622727",
"telephone_number": "847-205-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "WILLIAM",
"middle_name": "PHILLIPS",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071003232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.