Active NPI
Phoebe Arbogast
- Psychiatry Physician
- Northbrook, IL
National Provider Identifier
1841680212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.143987
- Practice address
- 60 Revere Dr Ste 100
Northbrook, IL 60062 - Phone
- (224) 306-1879
- Fax
- (224) 205-3757
- NPI assigned
- Jan 23, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.143987 | IL | Primary |
Addresses
Primary practice location
60 Revere Dr Ste 100
Northbrook, IL 60062
Mailing address
PO Box 506
Northbrook, IL 60065-0506
Phone (224) 306-1879
Other practice location 1
251 E Huron St
Chicago, IL 60611-2908
Phone (312) 926-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 20, 2020 through Oct 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.143987 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1841680212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 506",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600650506",
"telephone_number": "224-306-1879",
"fax_number": "224-205-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REVERE DR STE 100",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062",
"telephone_number": "224-306-1879",
"fax_number": "224-205-3757"
}
],
"practiceLocations": [
{
"address_1": "251 E Huron St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "312-926-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARBOGAST",
"first_name": "PHOEBE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.143987",
"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 May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.