Active NPI
Constance Weil, PH.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1992859284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2300 Children'S Plaza, Box 10
Children'S Memorial Hospital
Chicago, IL 60614 - Phone
- (773) 880-4800
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | IL | Primary |
Addresses
Primary practice location
2300 Children'S Plaza, Box 10
Children'S Memorial Hospital
Chicago, IL 60614
Mailing address
2300 Children'S Plaza, Box 10
Children'S Memorial Hospital
Chicago, IL 60614
Phone (773) 880-4800
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 |
|---|---|---|---|
| 071-003889 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992859284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CHILDREN'S PLAZA, BOX 10",
"address_2": "CHILDREN'S MEMORIAL HOSPITAL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-880-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CHILDREN'S PLAZA, BOX 10",
"address_2": "CHILDREN'S MEMORIAL HOSPITAL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-880-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIL",
"first_name": "CONSTANCE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, 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.