Active NPI
Alexandria Fotopoulos
- School Psychologist
- Palos Heights, IL
National Provider Identifier
1821560681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1835966
- Practice address
- 7435 W Manitoba Dr
Palos Heights, IL 60463-2017 - Phone
- (708) 912-6252
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 1835966 | IL | Primary |
Addresses
Primary practice location
7435 W Manitoba Dr
Palos Heights, IL 60463-2017
Mailing address
110 Collins St
Joliet, IL 60432-2942
Phone (815) 727-6997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103TS0200X | Other | IL | 62 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1835966 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1821560681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COLLINS ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604322942",
"telephone_number": "815-727-6997",
"fax_number": "815-727-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W MANITOBA DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632017",
"telephone_number": "708-912-6252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOTOPOULOS",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "1835966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "62",
"identifier": "103TS0200X",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.