Active NPI
Georgette Hein, PSY D
- Clinical Psychologist
- Gurnee, IL
National Provider Identifier
1831228659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.005539
- Practice address
- 135 N. Greenleaf
Suite 228
Gurnee, IL 60031 - Phone
- (847) 507-0456
- Fax
- (847) 393-7880
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.005539 | IL | Primary |
Addresses
Primary practice location
135 N. Greenleaf
Suite 228
Gurnee, IL 60031
Mailing address
101 Lakeview Drive
Mundelein, IL 60010
Phone (847) 507-0456
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.005539 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1831228659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LAKEVIEW DRIVE",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-507-0456",
"fax_number": "847-393-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N. GREENLEAF",
"address_2": "SUITE 228",
"city": "GURNEE",
"state": "IL",
"postal_code": "60031",
"telephone_number": "847-507-0456",
"fax_number": "847-393-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIN",
"first_name": "GEORGETTE",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.005539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.