Comprehensive Psychological Resource

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071 004832 Issued in IL

Legal business name

COMPREHENSIVE PSYCHOLOGICAL RESOURCE

Doing business as

Suzette Rush-Drake, Psy.D.

Practice address

241 Golf Mill Ctr Ste 602
Niles, IL 60714-1215

Phone

(847) 390-0776

Fax

(847) 390-7625

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzette Rush Drake, PSY'D

Title

Owner

Phone

(847) 390-0776

Specialties & licenses 1

Addresses

Other names 1

• Suzette Rush-Drake, Psy.D. Doing business as

Locations

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1760680789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 602",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141215",
            "telephone_number": "847-390-0776",
            "fax_number": "847-390-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 602",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141215",
            "telephone_number": "847-390-0776",
            "fax_number": "847-390-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHOLOGICAL RESOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "RUSH DRAKE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-390-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY'D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071 004832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzette Rush-Drake, Psy.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Niles, IL
• Providers in Niles, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.