Anxiety Clinic of Evanston, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ANXIETY CLINIC OF EVANSTON, LLC

Doing business as

Anxiety Clinic of Evanston

Practice address

4604 W Patterson Ave
Chicago, IL 60641-3609

Phone

(630) 805-1219

NPI assigned

Mar 13, 2020

Last updated

Mar 13, 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. Andrew McClintock, PHDNPI 1104318724

Title

Licensed Clinical Psychologist

Phone

(630) 805-1219

Specialties & licenses 2

Addresses

Other names 1

• Anxiety Clinic of Evanston Doing business as

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.

• Andrew S McClintock, PHD

  • Psychologist
  • Madison, WI
  • NPI 1104318724
  NPD Authorized official

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1750917571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 E CHERYL PKWY # W323",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117700",
            "telephone_number": "630-805-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 W PATTERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413609",
            "telephone_number": "630-805-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY CLINIC OF EVANSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-805-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anxiety Clinic of Evanston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farah F Anwar, PHARMD
• Muhammad Tayyab Anwar, M.D.
• Sadaf Anwar, MD
• Tessa Anwar, LCSW
• Aishwarya Veeresh Anweri, MD
• David Anyadike, M.D.
• Janice Anyanwu, MD
• Anna Chinyere Anyaso
• Reem Issa Ibrahim Anz, MD
• Lavinia Anzai, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.