Consulting & Clinical Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

71006214 Issued in IL

Legal business name

CONSULTING & CLINICAL PSYCHOLOGY

Practice address

458 Winnetka Ave
#204
Winnetka, IL 60093-4266

Phone

(847) 446-0404

NPI assigned

Sep 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard P Horevitz, PHDNPI 1194750786

Title

Owner

Phone

(847) 776-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard P Horevitz, PH.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1194750786
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710086269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 WINNETKA AVE",
            "address_2": "#204",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "60093",
            "telephone_number": "847-446-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 WINNETKA AVE",
            "address_2": "#204",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934266",
            "telephone_number": "847-446-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTING & CLINICAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOREVITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-776-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71006214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01632515",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas G Cleary, MD
• Collective Physical Therapy, PLLC
• Connell and Company, Inc.
• Laura Connell, PT
• Conneys Elm Street Pharmacy Inc
• Continuum Care
• John Q. Cook, M.D.
• Counseling Center of the North Shore, Inc.
• Colin Crawford, PT
• John Croghan, M.D.

• Clinical Psychologist in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.