Elissa M Virruso, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005949 Issued in IL

Legal business name

ELISSA M VIRRUSO, PC

Practice address

800 S Northwest Hwy
Suite 102a
Barrington, IL 60010-4652

Phone

(847) 381-9870

Fax

(847) 381-5059

NPI assigned

Feb 19, 2008

Last updated

Jan 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elissa Virruso, PSY.D.NPI 1811055205

Title

Owner/President

Phone

(847) 769-7200

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Elissa M Virruso, PSY.D.

  • Psychologist
  • Barrington, IL
  • NPI 1811055205
  NPD (past) Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1922276377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S NORTHWEST HWY",
            "address_2": "SUITE 102A",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104652",
            "telephone_number": "847-381-9870",
            "fax_number": "847-381-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S NORTHWEST HWY",
            "address_2": "SUITE 102A",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104652",
            "telephone_number": "847-381-9870",
            "fax_number": "847-381-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA M VIRRUSO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "VIRRUSO",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-769-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04925370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Barrington, IL
• Providers in Barrington, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.