Active NPI
Sarah Ticker
- Psychologist
- Northbrook, IL
National Provider Identifier
1871044289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.009363
- Practice address
- 215 Revere Dr
Suite 1a
Northbrook, IL 60062-1556 - Phone
- (847) 562-4992
- NPI assigned
- Oct 20, 2016
- 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 | 071.009363 | IL | Primary |
Addresses
Primary practice location
215 Revere Dr
Suite 1a
Northbrook, IL 60062-1556
Mailing address
215 Revere Dr
Suite 1a
Northbrook, IL 60062-1556
Phone (847) 562-4992
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 |
|---|---|---|---|
| 071.009363 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1871044289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 REVERE DR",
"address_2": "SUITE 1A",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621556",
"telephone_number": "847-562-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 REVERE DR",
"address_2": "SUITE 1A",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621556",
"telephone_number": "847-562-4992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICKER",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.009363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
- Thomas Michael Thompson III, RBT-18-62047
- Thrive Internal Medicine
- Thrive Occupational Therapy, P.C.
- Shelley C Thurber, CCC-SLP
- Kecya Deshelle Thurman
- Tikvah Center for Jewish Recovery and Healing NFP
- Tikvah Center for Jewish Recovery and Healing NFP
- Brittany Timberlake, LPC
- Alexander Mueller Timchak, M.D.
- Sarah Tisser, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.