Active NPI
Blake J Zweig, M.A.
- School Psychologist
- Northbrook, IL
National Provider Identifier
1811305626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1882175
- Practice address
- 801 Skokie Blvd Ste 222
Northbrook, IL 60062-4027 - Phone
- (847) 400-8912
- NPI assigned
- Jul 24, 2014
- Last updated
- Feb 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1882175 | IL | Primary |
Addresses
Primary practice location
801 Skokie Blvd Ste 222
Northbrook, IL 60062-4027
Mailing address
2370 Shermer Rd
Northbrook, IL 60062-6729
Phone (847) 400-8912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1882175 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1811305626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 SHERMER RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626729",
"telephone_number": "847-400-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SKOKIE BLVD STE 222",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624027",
"telephone_number": "847-400-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWEIG",
"first_name": "BLAKE",
"middle_name": "J",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-24",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "1882175",
"primary": true
}
],
"identifiers": [],
"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 Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.