Ameir Zeidan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149024185 Issued in IL

Practice address

1560 Hearthstone LN
North Aurora, IL 60542-6615

Phone

(708) 802-4045

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindwell Inc

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1396281838
  Medicare reassignment NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1790437739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HEARTHSTONE LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605426615",
            "telephone_number": "708-802-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HEARTHSTONE LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605426615",
            "telephone_number": "708-802-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "AMEIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ameir.zeidan@pathccm.com",
            "affiliation": "N",
            "address_1": "1560 Hearthstone Ln",
            "city": "North Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605426615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paulina Xayariboun, PHARMD
• Weining Xu, DR. OF ACUPUNCTURE
• Yarbrough Chiropractic LLC
• Anthony Shaquille Yarbrough Jr., DC
• Haley Young, PA-C

• Clinical Social Worker in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.