Individual provider Active NPI

Courtney L. Dirksen, PH.D.

  • Clinical Neuropsychologist
  • Arlington Heights, IL
National Provider Identifier
1699815985
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071-006894 Issued in IL
Practice address
855 E Golf Rd
Suite 2139
Arlington Heights, IL 60005-5222
Phone
(847) 357-9158
Fax
(847) 357-9203
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071-006894 IL Primary

Addresses

Primary practice location

855 E Golf Rd
Suite 2139
Arlington Heights, IL 60005-5222

Mailing address

855 E Golf Rd Ste 2139
Arlington Heights, IL 60005-5225
Phone (847) 357-9158

Other identifiers 1

IdentifierTypeStateIssuer
1637952OtherILBCBS OF ILLINOIS

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-006894ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dirksen Center for Neuropsychology, LTD Clinical Neuropsychologist Current Accepting new patients
Axiscare Neuropsychology, LLC Clinical Neuropsychologist Past Accepting new patients
Denise a Fiducia, PHD & Associates, LLC Clinical Neuropsychologist PastSince Aug 4, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1699815985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD STE 2139",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055225",
            "telephone_number": "847-357-9158",
            "fax_number": "847-701-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "SUITE 2139",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-357-9158",
            "fax_number": "847-357-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKSEN",
        "first_name": "COURTNEY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-006894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "1637952",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.