HERITAGE PROFESSIONAL ASSOCIATES LTD (NPI# 1033244173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033244173 |
| Entity Type | Organization |
| Organization Name | HERITAGE PROFESSIONAL ASSOCIATES LTD |
| Practice Address |
120 E Ogden Ave 220 Hinsdale IL 60521 |
| Practice Telephone | 6303255300 |
| Practice Fax Number | 6303255309 |
| Mailing Telephone | 6303255300 |
| Mailing Fax Number | 6303255309 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | MR. KEITH A BAIRD (LICENSED CLINICAL PSYCHOLOGIST PRES) |
| Authorized Official Telephone | 6303255300 |
| Authorized Official Credential | PHD ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 060005612 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 02215636 | 01 |
| Street Address |
120 E OGDEN AVE 220 |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1023562063 | Alexander Friedman | Psychologist | 920 N York Rd Ste 300, Hinsdale, IL 60521-3599 | 2016-08-08 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1255492930 | Teresa Suriano Fuhrman | Psychologist | 120 E Ogden, Suite 220 Heritage Professional Associates, Hinsdale, IL 60558-3546 | 2006-12-13 |
| 1992888655 | Clifton Rhead | Psychologist | 11 N Grant St, Hinsdale, IL 60521-3361 | 2006-10-23 |
| 1366532673 | Erin K Hill | Psychologist | 911 N Elm St Ste 321, Hinsdale, IL 60521 | 2006-10-15 |
| 1710082474 | Gretchen A Boules | Psychologist | 33 S Garfield Ave, Hinsdale, IL 60521 | 2006-09-14 |
| 1457979049 | Nicholas R Amitrano | Psychologist | 120 E Ogden Ave Ste 220, Hinsdale, IL 60521-3546 | 2020-07-09 |
| 1063075141 | Ellen Jorstad-stein | Psychologist | 501 W Ogden Ave Ste 6, Hinsdale, IL 60521-3184 | 2019-04-15 |
| 1740703313 | Simone Jalon | Psychologist | 120 E Ogden Ave, Hinsdale, IL 60521-3542 | 2017-07-25 |
| Find all providers in HINSDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.