Organization Active NPI

Anthony D. Vertino PSYD PC

  • Clinical Psychologist
  • Niles, IL
National Provider Identifier
1821298811
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005990 Issued in IL
Legal business name
ANTHONY D. VERTINO PSYD PC
Practice address
7515 W Monroe St
Niles, IL 60714-2543
Phone
(773) 330-5748
Fax
(847) 470-0744
NPI assigned
Jul 19, 2007
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Anthony D Vertino, PSYDNPI 1801852488
Title
President
Phone
(773) 330-5748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071005990 IL Primary

Addresses

Primary practice location

7515 W Monroe St
Niles, IL 60714-2543

Mailing address

7515 W Monroe St
Niles, IL 60714-2543
Phone (773) 330-5748

National Provider Directory

National Provider Directory

Locations

420 Lake Cook Rd
Ste 108
Deerfield, IL 60015
Phone (224) 515-9232

Practitioners & affiliated clinicians

Practitioners 2

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1821298811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 W MONROE ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142543",
            "telephone_number": "773-330-5748",
            "fax_number": "847-470-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 W MONROE ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142543",
            "telephone_number": "773-330-5748",
            "fax_number": "847-470-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY D. VERTINO PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "VERTINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-330-5748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.