Individual provider Active NPI

Danielle J Abi-Saab, PSY.D

  • Clinical Neuropsychologist
  • Arlington Heights, IL
National Provider Identifier
1942391420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
1655 N Arlington Heights Rd
203E
Arlington Heights, IL 60004-3982
Phone
(847) 259-8583
Fax
(847) 259-8935
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X IL Primary

Addresses

Primary practice location

1655 N Arlington Heights Rd
203E
Arlington Heights, IL 60004-3982

Mailing address

898 Beverly PL
Lake Forest, IL 60045-3956
Phone (847) 615-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.007006ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Behavioral Care Clinical Neuropsychologist PastSince Jul 31, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942391420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 BEVERLY PL",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453956",
            "telephone_number": "847-615-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD",
            "address_2": "203E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-259-8583",
            "fax_number": "847-259-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABI-SAAB",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.