Advanced Neurobehavioral Diagnostics Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

ADVANCED NEUROBEHAVIORAL DIAGNOSTICS INC

Practice address

1365 Wiley Rd Ste 147
Schaumburg, IL 60173-4357

Phone

(847) 636-7336

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Dana Rosado, PHDNPI 1073007746

Title

Owner

Phone

(847) 636-7336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Rosado

  • Clinical Psychologist
  • Schaumburg, IL
  • NPI 1073007746

  IL

  Medicare reassignment NPD Authorized official
• Angel David, PSYD

  • Clinical Psychologist
  • West Linn, OR
  • NPI 1639687205
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1780463513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WILEY RD STE 147",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734343",
            "telephone_number": "847-636-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD STE 147",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-636-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROBEHAVIORAL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-636-7336",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.