Active NPI
Robert V Prescott, PHD
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1942415096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 1800 South Blvd
Evanston, IL 60202-2750 - Phone
- (847) 436-1663
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
1800 South Blvd
Evanston, IL 60202-2750
Mailing address
1800 South Blvd
Evanston, IL 60202-2750
Phone (847) 436-1663
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004200 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942415096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SOUTH BLVD",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022750",
"telephone_number": "847-436-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SOUTH BLVD",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022750",
"telephone_number": "847-436-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "ROBERT",
"middle_name": "V",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
- Presbyterian Homes
- Presbyterian Homes (Hospice Of Presbyterian Homes)
- Presbyterian Homes Outpatient Rehabilitation Agency LLC
- Presbyterian Homes Pharmacy
- Jennifer Preschern, MA CCC-SLP
- Presence Behavioral Health (ProCare Centers)
- Presence Behavioral Health (ProCare Centers)
- Presence Chicago Hospitals Network (Amita Health Saint Francis Hospital - Evanston)
- Presence Chicago Hospitals Network (Presence SFH Specialty Group)
- Presence Healthcare Services (Presence Medical Group)
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.