Dr Annette Arzt SC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR ANNETTE ARZT SC

Practice address

960 Rand Road
Suite 219a
Des Plaines, IL 60016-2352

Phone

(847) 824-2686

Fax

(847) 838-5958

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Annette Arzt, PHDNPI 1649454463

Title

Clinical Psychologist President

Phone

(847) 824-2686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette Arzt, PH.D.

  • Clinical Psychologist
  • Des Plaines, IL
  • NPI 1649454463
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1992811186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RAND ROAD",
            "address_2": "SUITE 219A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162352",
            "telephone_number": "847-824-2686",
            "fax_number": "847-838-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RAND ROAD",
            "address_2": "SUITE 219A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162352",
            "telephone_number": "847-824-2686",
            "fax_number": "847-838-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANNETTE ARZT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ARZT",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "847-824-2686",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.