Organization Active NPI

Astrid Edith Hesse

  • Clinical Psychologist
  • Highland Park, IL
National Provider Identifier
1770118176
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASTRID EDITH HESSE
Doing business as
Prism Health
Practice address
580 Roger Williams Ave Ste 21
Highland Park, IL 60035-4820
Phone
(773) 968-3117
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Astrid Hesse, PSYDNPI 1215250444
Title
Owner
Phone
(773) 968-3117

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

580 Roger Williams Ave Ste 21
Highland Park, IL 60035-4820

Mailing address

6547 N Maplewood Ave
Chicago, IL 60645-5317
Phone (773) 968-3117

Other names 1

  • Prism Health Doing business as

National Provider Directory

National Provider Directory

Locations

580 Roger Williams Ave
Ste 21
Highland Park, IL 60035
Phone (773) 968-3117

Practitioners & affiliated clinicians

Practitioners 1

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": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1770118176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 N MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455317",
            "telephone_number": "773-968-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ROGER WILLIAMS AVE STE 21",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354820",
            "telephone_number": "773-968-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRID EDITH HESSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "HESSE",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-968-3117",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.