Organization Active NPI

Susan Benjamin Feingold PSYD and Associates LLC

  • Psychologist
  • Chicago, IL
National Provider Identifier
1689275265
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SUSAN BENJAMIN FEINGOLD PSYD AND ASSOCIATES LLC
Practice address
1038 N Crosby St
Chicago, IL 60610-2404
Phone
(847) 831-7731
NPI assigned
Nov 2, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Laurie A Guagenti
Title
Billing Manager
Phone
(312) 480-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1038 N Crosby St
Chicago, IL 60610-2404

Mailing address

1038 N Crosby St
Chicago, IL 60610-2404
Phone (847) 831-7731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1689275265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 N CROSBY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102404",
            "telephone_number": "847-831-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 N CROSBY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102404",
            "telephone_number": "847-831-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BENJAMIN FEINGOLD PSYD AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "GUAGENTI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "312-480-5186"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.