Organization Active NPI

Perlman Davis and Associates in Psychology

  • Clinical Psychologist
  • Bannockburn, IL
National Provider Identifier
1790954998
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
71-3882 Issued in IL
Legal business name
PERLMAN DAVIS AND ASSOCIATES IN PSYCHOLOGY
Practice address
2275 Half Day Rd
Suite 145
Bannockburn, IL 60015-1217
Phone
(847) 236-1574
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Barbara Nelson Perlman, PH.D.NPI 1043370034
Title
Clinical Psychologist
Phone
(847) 236-1574

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 Psychologist 103TC0700X 71-3882 IL Primary

Addresses

Primary practice location

2275 Half Day Rd
Suite 145
Bannockburn, IL 60015-1217

Mailing address

2275 Half Day Rd
Suite 145
Bannockburn, IL 60015-1217
Phone (847) 236-1574

Other identifiers 3

IdentifierTypeStateIssuer
0004972072OtherBLUE CROSS BLUE SHIELD
163550OtherCIGNA
4509988OtherAETNA

National Provider Directory

National Provider Directory

Locations

2275 Half Day Rd
Ste 145
Bannockburn, IL 60015
Phone (312) 843-0668

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1790954998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 HALF DAY RD",
            "address_2": "SUITE 145",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151217",
            "telephone_number": "847-236-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 HALF DAY RD",
            "address_2": "SUITE 145",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151217",
            "telephone_number": "847-236-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLMAN DAVIS AND ASSOCIATES IN PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-236-1574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71-3882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004972072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "163550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4509988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.