Individual provider Active NPI

Firuza Aliyeva, M.D.

  • Child & Adolescent Psychiatry Physician
  • Northbrook, IL
National Provider Identifier
1669635108
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036.126451 Issued in IL
Practice address
1450 Techny Rd
Northbrook, IL 60062-5447
Phone
(847) 443-0006
Fax
(847) 586-0119
NPI assigned
Jul 3, 2008
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.126451 IL
Child & Adolescent Psychiatry Physician 2084P0804X 036.126451 IL Primary

Addresses

Primary practice location

1450 Techny Rd
Northbrook, IL 60062-5447

Mailing address

1450 Techny Rd
Northbrook, IL 60062-5447
Phone (847) 562-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.126451ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatric Center LLC Psychiatry Current Accepting new patients
Plena Mind Center, LLC Past Accepting new patients
Plena Medical Group PLLC Child & Adolescent Psychiatry Past Accepting new patients

Locations

1893 Sheridan Rd
Ste 217
Highland Park, IL 60035
Phone (847) 432-2420

1450 Techny Rd
Northbrook, IL 60062
Phone (847) 562-5612

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1669635108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-562-5612",
            "fax_number": "847-586-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-443-0006",
            "fax_number": "847-586-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIYEVA",
        "first_name": "FIRUZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.126451",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036.126451",
            "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 Mar 31, 2023; 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.