Active NPI
Angele Close, PHD.
- Clinical Psychologist
- Skokie, IL
National Provider Identifier
1740740562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009973
- Practice address
- 5225 Old Orchard Rd
Suite 37
Skokie, IL 60077 - Phone
- (847) 529-8300
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009973 | IL | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | 071.009973 | IL |
Addresses
Primary practice location
5225 Old Orchard Rd
Suite 37
Skokie, IL 60077
Mailing address
1264 Forest Glen Dr. N.
Winnetka, IL 60093
Phone (226) 220-0991
Other names 1
- Angele Palmer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009973 | IL | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skylight Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1740740562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 FOREST GLEN DR. N.",
"city": "WINNETKA",
"state": "IL",
"postal_code": "60093",
"telephone_number": "226-220-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD",
"address_2": "SUITE 37",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "847-529-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "ANGELE",
"name_prefix": "Mrs.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009973",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IL",
"license": "071.009973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELE",
"last_name": "PALMER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.