Suburban Clinical Services P C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071002653 Issued in IL

Legal business name

SUBURBAN CLINICAL SERVICES P C

Practice address

222 N Marion St
Oak Park, IL 60302-1968

Phone

(708) 795-4747

Fax

(708) 383-2578

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gulliume Moor, PSY.D.

Title

Owner

Phone

(708) 795-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elaine Moor, PSYD

  • Clinical Psychologist
  • Cicero, IL
  • NPI 1942372008
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1801912019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603033157",
            "telephone_number": "708-795-4747",
            "fax_number": "708-383-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021968",
            "telephone_number": "708-795-4747",
            "fax_number": "708-383-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CLINICAL SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MOOR",
        "authorized_official_first_name": "GULLIUME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-795-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Stroupe, MD
• Alexis Darielle Struggs
• Amy M Stuart
• Jessica M Stuckman, MOTR/L
• Denise Suarez, SLP
• Suburban Pulmonary & Critical Care Assoc, Inc
• Tiffany Such
• Deva Suckerman, LCPC
• Vineela Joyce Sukasi
• Ghania Sukhera, DMD

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.