Active NPI
Amanda Parker, BCBA, M.ED
- Psychologist
- Itasca, IL
National Provider Identifier
1831348028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- BCBA1-07-3892
- Practice address
- 901 W Hawthorn Dr
Itasca, IL 60143 - Phone
- (800) 844-1232
- Fax
- (800) 844-1232
- NPI assigned
- Sep 12, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | BCBA1-07-3892 | IL | Primary |
Addresses
Primary practice location
901 W Hawthorn Dr
Itasca, IL 60143
Mailing address
901 W Hawthorn Dr
Itasca, IL 60143-2056
Phone (800) 844-1232
Other practice location 1
107 Southern Blvd Ste 201
Savannah, GA 31405-7441
Phone (800) 844-1232
Other practice location 2
1064 Cypress Ln
Elk Grove Village, IL 60007-4008
Phone (847) 567-9963
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 Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Autism & Behavior Specialists | Past | Accepting new patients | |
| Chicago Autism and Behavior Specialists | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Itasca, IL
- NPI 1295021269
-
- Behavior Analyst
- Itasca, IL
- NPI 1982077194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1831348028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W HAWTHORN DR",
"city": "ITASCA",
"state": "IL",
"postal_code": "601432056",
"telephone_number": "800-844-1232",
"fax_number": "800-844-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W HAWTHORN DR",
"city": "ITASCA",
"state": "IL",
"postal_code": "60143",
"telephone_number": "800-844-1232",
"fax_number": "800-844-1232"
}
],
"practiceLocations": [
{
"address_1": "107 Southern Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314057441",
"country_code": "US",
"telephone_number": "800-844-1232",
"fax_number": "800-844-1232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1064 Cypress Ln",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600074008",
"country_code": "US",
"telephone_number": "847-567-9963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "AMANDA",
"credential": "BCBA, M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "BCBA1-07-3892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.