Active NPI
Perlman Davis and Associates in Psychology
- Clinical Psychologist
- Bannockburn, IL
National Provider Identifier
1790954998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 71-3882
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004972072 | Other | BLUE CROSS BLUE SHIELD | |
| 163550 | Other | CIGNA | |
| 4509988 | Other | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Bannockburn, IL
- NPI 1043370034
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.