NPIMap

Organization Active NPI

Affiliated Clinical Psychologists

  • Psychologist
  • Bloomingdale, IL
National Provider Identifier
1720156201
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-005865 Issued in IL
Legal business name
AFFILIATED CLINICAL PSYCHOLOGISTS
Practice address
1 Tiffany PT
Ste. #111
Bloomingdale, IL 60108-2936
Phone
(630) 980-1400
Fax
(630) 980-1441
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Aimee Harris-Newon, PSY.D.NPI 1609944263
Title
Owner
Phone
(630) 980-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071-005865 IL Primary

Addresses

Primary practice location

1 Tiffany PT
Ste. #111
Bloomingdale, IL 60108-2936

Mailing address

1 Tiffany PT
Ste. #111
Bloomingdale, IL 60108-2936
Phone (630) 980-1400

National Provider Directory

National Provider Directory

Locations

1 Tiffany Pt
Ste 111
Bloomingdale, IL 60108
Phone (630) 980-1400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1720156201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "STE. #111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-980-1400",
            "fax_number": "630-980-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "STE. #111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-980-1400",
            "fax_number": "630-980-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED CLINICAL PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS-NEWON",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-980-1400",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-005865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.