| Neurobehavioral Associates, P.c. | |
|
2033 Milwaukee Ave Suite 334 Riverwoods IL 60015-3581 | |
| (303) 520-0489 | |
| Not Available |
| Full Name | Neurobehavioral Associates, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2033 Milwaukee Ave, Riverwoods, Illinois |
| Authorized Official Name and Position | Jacqueline Rea (SENIOR CLINICAL MANAGER) |
| Authorized Official Contact | 3035200489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Associates, P.c. Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Neurobehavioral Associates, P.c. 2033 Milwaukee Ave Suite 334 Riverwoods IL 60015-3581 Ph: (303) 520-0489 |
| NPI Number | 1881815660 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Medicare PECOS PAC ID | 2466551379 |
|---|---|
| Medicare Enrollment ID | O20070619000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881815660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Lisa D Stanford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194838268 PECOS PAC ID: 5890697072 Enrollment ID: I20040127000535 |
| Provider Name | Anne Hodson Wiley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619090719 PECOS PAC ID: 2163529322 Enrollment ID: I20070523000044 |
| Provider Name | Alia N Ammar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144388455 PECOS PAC ID: 3375643638 Enrollment ID: I20070716000440 |
| Provider Name | Ekaterina Keifer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881949154 PECOS PAC ID: 5496909574 Enrollment ID: I20130128000213 |
| Provider Name | Jamie Walter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730470444 PECOS PAC ID: 1153615786 Enrollment ID: I20160804002301 |
| Provider Name | Maia Feigon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265880975 PECOS PAC ID: 8426343930 Enrollment ID: I20160823002299 |
| Provider Name | Lauren K Crisanti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659824928 PECOS PAC ID: 4880981281 Enrollment ID: I20160929000039 |
| Provider Name | Jessica Paxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003217571 PECOS PAC ID: 4981923380 Enrollment ID: I20181218002959 |
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