NPIMap

Organization Active NPI

Associates in Mediation & Counseling, Inc.

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1881615714
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-003964 Issued in IL
Legal business name
ASSOCIATES IN MEDIATION & COUNSELING, INC.
Practice address
601 Skokie Blvd Ste 101
Northbrook, IL 60062-2817
Phone
(847) 433-2030
Fax
(224) 676-0412
NPI assigned
Jul 23, 2006
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Dr. Cheryl Spielman, PSY.D.NPI 1457578312
Title
President, Clinical Psychologist
Phone
(847) 433-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-003964 IL Primary

Addresses

Primary practice location

601 Skokie Blvd Ste 101
Northbrook, IL 60062-2817

Mailing address

1508 Canbury CT
Unit D-1
Wheeling, IL 60090-6971
Phone (847) 433-2030

Other identifiers 5

IdentifierTypeStateIssuer
262296OtherUBH PROVIDER ID NUMBER
4249359OtherAETNA PROVIDER NUMBER
4922214OtherILBLUE CROSS BLUE SHIELD IL
MIS#458043000OtherMAGELLAN PROVIDER ID#
056747OtherILVALUE OPTIONS PROVIDER ID

Other names 1

  • Cheryl Spielman, Psy.D. Other name

National Provider Directory

National Provider Directory

Locations

1893 Sheridan Rd
Ste 2
Highland Park, IL 60035
Phone (847) 433-2030

601 Skokie Blvd
Ste 101
Northbrook, IL 60062
Phone (847) 433-2030

Practitioners & affiliated clinicians

Practitioners 1

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1881615714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CANBURY CT",
            "address_2": "UNIT D-1",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906971",
            "telephone_number": "847-433-2030",
            "fax_number": "224-676-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622817",
            "telephone_number": "847-433-2030",
            "fax_number": "224-676-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MEDIATION & COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "SPIELMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-433-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER ID NUMBER",
            "identifier": "262296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4249359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "4922214",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER ID#",
            "identifier": "MIS#458043000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "056747",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheryl Spielman, Psy.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 14, 2012; 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.