Organization Active NPI

Inbar Greenfeld Tairy PC

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1861907297
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009258 Issued in IL
Legal business name
INBAR GREENFELD TAIRY PC
Practice address
3000 Dundee Rd Ste 111
Northbrook, IL 60062-2424
Phone
(708) 560-6653
Fax
(888) 392-8402
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Lori J Newman, BA CPC
Title
Office Administrator
Phone
(708) 560-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071009258 IL Primary

Addresses

Primary practice location

3000 Dundee Rd Ste 111
Northbrook, IL 60062-2424

Mailing address

3000 Dundee Rd Ste 111
Northbrook, IL 60062-2424
Phone (312) 371-0252

National Provider Directory

National Provider Directory

Locations

3000 Dundee Rd
Ste 111
Northbrook, IL 60062
Phone (847) 549-1189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1861907297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622424",
            "telephone_number": "312-371-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622424",
            "telephone_number": "708-560-6653",
            "fax_number": "888-392-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INBAR GREENFELD TAIRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "708-560-6653",
        "authorized_official_credential": "BA CPC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009258",
            "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 Dec 7, 2017; 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.