Organization Active NPI

Psychosocial Oncology Partners in Health,LLC

  • Clinical Psychologist
  • Highland Park, IL
National Provider Identifier
1932479789
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004679 Issued in IL
Legal business name
PSYCHOSOCIAL ONCOLOGY PARTNERS IN HEALTH,LLC
Practice address
1866 Sheridan Rd
Suite 216
Highland Park, IL 60035-2547
Phone
(847) 433-0800
Fax
(847) 432-3862
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Stuart Pinkwater, PSYD
Title
Licensed Clinical Psychologist
Phone
(847) 433-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071004679 IL Primary

Addresses

Primary practice location

1866 Sheridan Rd
Suite 216
Highland Park, IL 60035-2547

Mailing address

1866 Sheridan Rd
Suite 216
Highland Park, IL 60035-2547
Phone (847) 433-0800

National Provider Directory

National Provider Directory

Locations

1866 Sheridan Rd
Ste 216
Highland Park, IL 60035
Phone (847) 323-8615

1954 1st St
#179
Highland Park, IL 60035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1932479789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "SUITE 216",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352547",
            "telephone_number": "847-433-0800",
            "fax_number": "847-432-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "SUITE 216",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352547",
            "telephone_number": "847-433-0800",
            "fax_number": "847-432-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOSOCIAL ONCOLOGY PARTNERS IN HEALTH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PINKWATER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-433-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.