Active NPI
Robin S Ross PHD LTD
- Clinical Psychologist
- Northbrook, IL
National Provider Identifier
1992339063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ROBIN S ROSS PHD LTD
- Practice address
- 2715 Greenwood Rd
Northbrook, IL 60062-7623 - Phone
- (847) 409-9557
- NPI assigned
- Feb 27, 2020
- 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. Robin S Ross, PHD
- Title
- President
- Phone
- (847) 405-0220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2715 Greenwood Rd
Northbrook, IL 60062-7623
Mailing address
2515 Waukegan Rd Ste 556
Bannockburn, IL 60015-1569
Phone (847) 409-9557
National Provider Directory
National Provider DirectoryLocations
2515 Waukegan Rd
Ste 556
Bannockburn, IL 60015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1992339063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 WAUKEGAN RD STE 556",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151569",
"telephone_number": "847-409-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 GREENWOOD RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627623",
"telephone_number": "847-409-9557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBIN S ROSS PHD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-27",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-405-0220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.