Aileen M Hartzell, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071.008178 Issued in IL

Practice address

1601 Sherman Ave
Ste 201
Evanston, IL 60201-5038

Phone

(312) 806-7850

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1932484136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "STE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015038",
            "telephone_number": "312-806-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "STE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015038",
            "telephone_number": "312-806-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "AILEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY24391",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.008178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hartmann, L.AC., LMT
• Kelly Marie Hartnett, PA-C
• Lena Hartshorn
• Sahar Hartsock
• Barbara Hartz, CNP
• Paula Anne Harvan, MD
• Alan Andreas Harvey, D.M.D.
• Felicia Harvey
• Ali Hashem
• Asma S Hashim, DO

• Clinical Neuropsychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.