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BLAINE GERSHENZON AND HEINS NPI 1417100991


NPI Information

NPI: 1417100991
Provider Name: BLAINE, GERSHENZON, AND HEINS
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3411 VANTAGE LN
GLENVIEW, IL
ZIP 60026
Phone: (847) 480-9671
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BLAINE, GERSHENZON, AND HEINS is a clinical psychologist in Glenview, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BLAINE, GERSHENZON, AND HEINS NPI is 1417100991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3411 VANTAGE LN
GLENVIEW, IL
ZIP 60026-366
Phone: (847) 480-9671
Fax: (312) 372-0607

The provider's authorized official is Bonnie E Gershenzon .
The authorized official title is Psychotherapist and has the following contact phone number (847) 480-9671.

The enumeration date for this NPI number is 10/29/2008 and was last updated on 10/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLCSW149005279ILLINOISNo
21041C0700XSocial WorkerClinicalLCSW149000197ILLINOISNo
3103TC0700XPsychologistClinical071.003586ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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