DR. AMY FAYAZRAD (NPI# 1043440910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043440910 |
| Entity Type | Individual |
| Full Name | DR. AMY FAYAZRAD |
| Credential | PSY.D. |
| Practice Address |
825 E Golf Rd Suite 1127 Arlington Heights IL 60005-5700 |
| Practice Telephone | 8479819200 |
| Mailing Telephone | 8479819200 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2015-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
825 E GOLF RD SUITE 1127 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239447 | Erica E Hartl | Family Medicine | 825 E Golf Rd, Arlington Heights, IL 60005-5700 | 2006-06-30 |
| 1447546874 | Roxana Maria Florina Miroi | Family Medicine | 825 E Golf Rd, Arlington Heights, IL 60005-5700 | 2011-06-23 |
| 1639481591 | Kranti Gollapudi Dasgupta | Family Medicine | 825 E Golf Rd, 2nd Fl., Arlington Heights, IL 60005-5700 | 2010-07-08 |
| 1962668020 | Audrey Nauta Margol | Psychologist | 825 E Golf Rd, Suite 1127, Arlington Heights, IL 60005-5700 | 2008-07-29 |
| 1134264534 | Kimberly Ann Lemke | Psychologist | 825 E Golf Rd, Suite 1127, Arlington Heights, IL 60005 | 2007-02-21 |
| 1780725572 | Annette Lacey | Psychologist | 825 E Golf Rd, Suite 1127, Arlington Heights, IL 60005-5700 | 2007-02-12 |
| 1659425361 | Barnes & Klatt PC | Psychologist | 825 E Golf Rd, Suite 1127 Barnes & Klatt PC, Arlington Heights, IL 60005-5700 | 2007-01-22 |
| 1922193226 | Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 825 E Golf Rd, Suite 1144, Arlington Heights, IL 60005 | 2006-10-03 |
| 1851302939 | Akber Ali Khan | Internal Medicine | 825 E Golf Rd, 2nd Floor, Arlington Heights, IL 60005-5700 | 2006-08-11 |
| 1932120482 | Anthony Thomas March | Family Medicine | 825 E Golf Rd, Arlington Heights, IL 60005-5700 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068882 | Giovanna Papagiorgio | Counselor | 2101 S Arlington Heights Rd Unit 129, Arlington Heights, IL 60005-4185 | 2020-09-21 |
| 1689288995 | Arbin Memisi | Counselor | 3205 N Wilke Rd, Arlington Heights, IL 60004-0001 | 2020-09-03 |
| 1023639549 | Ann Marie K Berg | Counselor | 176 N Arlington Heights Rd, Arlington Heights, IL 60004-6062 | 2020-05-06 |
| 1740837616 | Matthew James Schneider | Counselor | 121 S Wilke Rd Ste 101, Arlington Heights, IL 60005-1524 | 2019-08-24 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1730607730 | A Rejuvenated Mind Behavioral Health, LLC | Counselor | 121 S Wilke Rd Ste 204b, Arlington Heights, IL 60005-1540 | 2017-08-30 |
| 1750705810 | Kristen Szpinalski | Counselor | 115 N Arlington Heights Rd Ste 102, Arlington Heights, IL 60004-6075 | 2014-02-10 |
| 1497192033 | Diane Lynn Levy | Counselor | 3122 N Daniels Ct, Arlington Heights, IL 60004-1508 | 2013-05-22 |
| 1326334467 | Jane A Lou | Counselor | 415 E Golf Rd Ste 115, Arlington Heights, IL 60005 | 2011-06-28 |
| 1265723886 | Natalia Nieves | Counselor | 825 E Golf Rd Ste 1127, Arlington Heights, IL 60005-5200 | 2011-04-29 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on DR. AMY FAYAZRAD.
| 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.