NPIMap

Organization Active NPI

Robert R. Feldman, PH.D. LTD.

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1801911425
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ROBERT R. FELDMAN, PH.D. LTD.
Practice address
899 Skokie Blvd Ste 430
Northbrook, IL 60062-4024
Phone
(847) 601-3192
Fax
(847) 412-0756
NPI assigned
Mar 20, 2007
Organization subpart
Yes
Parent organization
ROBERT R. FELDMAN, PH.D. LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Robert R. Feldman, PH.D.NPI 1710038997
Title
President
Phone
(847) 601-3192

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 IL Primary

Addresses

Primary practice location

899 Skokie Blvd Ste 430
Northbrook, IL 60062-4024

Mailing address

3163 University Ave
Highland Park, IL 60035-1144
Phone (847) 601-3192

Other identifiers 1

IdentifierTypeStateIssuer
0001607224OtherBLUE CROSS PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Robert R Feldman PHD LTD3 organizations share this tax ID, including this one
Part of
Robert R Feldman PHD LTD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1801911425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 UNIVERSITY AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351144",
            "telephone_number": "847-601-3192",
            "fax_number": "847-412-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 430",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624024",
            "telephone_number": "847-601-3192",
            "fax_number": "847-412-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. FELDMAN, PH.D. LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT R. FELDMAN, PH.D. LTD.",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-601-3192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "0001607224",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.