Individual provider Active NPI

Alicia Jones Arkin, PSY.D.

  • Psychologist
  • Northbrook, IL
National Provider Identifier
1730545195
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071.006829 Issued in IL
Practice address
601 Skokie Blvd Ste 104
Northbrook, IL 60062-2817
Phone
(847) 980-2822
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071.006829 IL Primary

Addresses

Primary practice location

601 Skokie Blvd Ste 104
Northbrook, IL 60062-2817

Mailing address

1700 Cranshire CT
Deerfield, IL 60015-2617
Phone (847) 980-2822

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

State licenses

LicenseStateTypeSpecialty
071.006829ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1730545195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CRANSHIRE CT",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152617",
            "telephone_number": "847-980-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 104",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622817",
            "telephone_number": "847-980-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKIN",
        "first_name": "ALICIA",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.006829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.