North Suburban Psychological Associates, LTD.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH SUBURBAN PSYCHOLOGICAL ASSOCIATES, LTD.

Practice address

630 Vernon Ave
Suite G
Glencoe, IL 60022-1681

Phone

(847) 835-1770

Fax

(847) 835-5358

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 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. Shelley R Buntman, PH.D.

Title

Vice President

Phone

(847) 835-1770

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Alan D. Buntman, PH.D.

  • Clinical Psychologist
  • Glencoe, IL
  • NPI 1700081148
  NPD (past)
• Amanda Linn Weigel-Kuznacic, PSY.D.

  • Psychologist
  • Glencoe, IL
  • NPI 1659656312
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1932336880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 VERNON",
            "address_2": "SUITE G",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "60022",
            "telephone_number": "847-835-1770",
            "fax_number": "847-835-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 VERNON AVE",
            "address_2": "SUITE G",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221681",
            "telephone_number": "847-835-1770",
            "fax_number": "847-835-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN PSYCHOLOGICAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "BUNTMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-835-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro-Diagnostic Institute LLC
• Iris Newman
• Esther Marsha Nitzarim, M.S., CCC, SPL
• Nolanworks, LLC. (Next Day Access - North Suburban Chicago)
• North Shore Natural Medicine Inc.
• Adriana A. Ochoa Figueroa, LCSW
• Debbie Patino, OT
• Michelle Ann Peifley, DDS
• Meg Racenstein, PH.D.
• Amera Manzoor Rahman, M.D.

• Psychologist in Glencoe, IL
• Providers in Glencoe, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.