Active NPI
Ariela Yasova-Zaffos, PSYD
- Clinical Psychologist
- North Chicago, IL
National Provider Identifier
1992261366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3613-57
- Practice address
- 3001 Green Bay Road
16B (B7, Room 224)
North Chicago, IL 60004 - Phone
- (727) 455-0321
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 3613-57 | WI | Primary |
Addresses
Primary practice location
3001 Green Bay Road
16B (B7, Room 224)
North Chicago, IL 60004
Mailing address
3001 Green Bay Road
16B (B7, Room 224)
North Chicago, IL 60004
Phone (727) 455-0321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3613-57 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1992261366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 GREEN BAY ROAD",
"address_2": "16B (B7, ROOM 224)",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60004",
"telephone_number": "727-455-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY ROAD",
"address_2": "16B (B7, ROOM 224)",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60004",
"telephone_number": "727-455-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASOVA-ZAFFOS",
"first_name": "ARIELA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3613-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.