Active NPI
Elizabeth Lee Brumfield, MD
- Psychiatry Physician
- Evanston, IL
National Provider Identifier
1912016775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036089401
- Practice address
- 1818 Dempster St
Evanston, IL 60202-1003 - Phone
- (847) 977-2980
- Fax
- (202) 838-0592
- NPI assigned
- Aug 29, 2006
- Last updated
- Dec 2, 2020
- 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 | 036089401 | IL | Primary |
Addresses
Primary practice location
1818 Dempster St
Evanston, IL 60202-1003
Mailing address
1818 Dempster St
Evanston, IL 60202-1003
Phone (847) 977-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160519000010 | IL | Order and Referring Only - Psychiatry | 2365403268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036089401 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Thresholds | Past | Accepting new patients | |
| Housing Options for the Mentally Ill in Evanston, Inc | Past | Accepting new patients | |
| Renee B Wright PC | Past | Accepting new patients | |
| Sholtes & Associates | Psychiatry | Past | Accepting new patients |
| St James Cathedral Counseling Center | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Impact Behavioral Health Partners
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, IL
- NPI 1447200191
-
- Psychiatry Physician
- Evanston, IL
- NPI 1619156528
-
dba Cathedral Counseling Center
- Clinical Social Worker
- Chicago, IL
- NPI 1720090780
-
dba Bridge Southwest DuPage CST
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1912016775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 DEMPSTER ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021003",
"telephone_number": "847-977-2980",
"fax_number": "202-838-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 DEMPSTER ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021003",
"telephone_number": "847-977-2980",
"fax_number": "202-838-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMFIELD",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036089401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.