James Brydon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149004304 Issued in IL

Practice address

1401 McHenry Rd
Ste 122
Buffalo Grove, IL 60089-1382

Phone

(847) 913-0393

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Arbor Counseling Center,LTD

  • Clinical Social Worker
  • Buffalo Grove, IL
  • NPI 1164479945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1679512602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "STE 122",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-913-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "STE 122",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-913-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDON",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "363994759",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert K Brogadir, D.P.M.
• Jess Brown, PT
• Sedona Brown
• Amy Cartwright Brownlee, PA C
• Danielle Renee Bruk, M.S.,
• Emma Elizabeth Bryers, BCBA
• Leah Buan, PT
• Sheryl B Bucasas, PT
• Buffalo Grove Chiropractic and Wellness LLC
• Buffalo Grove Chiropractic Center, LTD

• Clinical Social Worker in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.