Active NPI
Psychosocial Oncology Partners in Health,LLC
- Clinical Psychologist
- Highland Park, IL
National Provider Identifier
1932479789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004679
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Highland Park, IL
- NPI 1114093242
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.