NPIMap

Organization Active NPI

Dirksen Center for Neuropsychology, LTD

  • Clinical Neuropsychologist
  • Arlington Heights, IL
National Provider Identifier
1871733444
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
DIRKSEN CENTER FOR NEUROPSYCHOLOGY, LTD
Practice address
855 E Golf Rd
Suite 1127
Arlington Heights, IL 60005-5222
Phone
(847) 347-9288
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Tracy Freeze
Title
Practice Manager
Phone
(219) 926-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

855 E Golf Rd
Suite 1127
Arlington Heights, IL 60005-5222

Mailing address

PO Box 45
Portage, IN 46368-0045
Phone (219) 926-8320

National Provider Directory

National Provider Directory

Locations

855 E Golf Rd
Ste 1127
Arlington Heights, IL 60005
Phone (847) 347-9288

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1871733444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463680045",
            "telephone_number": "219-926-8320",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "SUITE 1127",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-347-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRKSEN CENTER FOR NEUROPSYCHOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "FREEZE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "219-926-8320"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.