AMY FAYAZRAD & ASSOCIATES, PC
NPI 1184147647
Psychologist in Glenview, IL

Active since July 17, 2017
3633 W LAKE AVE STE 306, GLENVIEW, IL 60026(760) 831-1191 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy Fayazrad & Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY FAYAZRAD & ASSOCIATES, PC (NPI 1184147647) is a healthcare organization registered as a psychologist in Glenview, Illinois and active in the NPI registry since July 2017. The organization lists Amy Fayazrad Fayazrad, President, as its authorized official.

NPPES Registry Identity

NPI1184147647
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameAMY FAYAZRAD & ASSOCIATES, PC
Location Address3633 W LAKE AVE STE 306Glenview, IL 60026-5803
Mailing Address4137 N Meade AveChicago, IL 60634-1506
Organization SubpartNo
Authorized OfficialAmy Fayazrad FayazradPresident · (760) 831-1191
Enumeration DateJuly 17, 2017
✔ NPI 1184147647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
3633 W LAKE AVE STE 306, Glenview, IL 60026

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Fayazrad & Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amy Fayazrad & Associates, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1043440910
825 E GOLF RD SUITE 1127
Arlington Heights, IL 60005
(847) 981-9200
✔ PECOS✔ Accepts Medicare6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Fayazrad & Associates, PC's NPI number?

The NPI number for Amy Fayazrad & Associates, PC is 1184147647. It was assigned to this organization in the NPPES registry on July 17, 2017.

Where is Amy Fayazrad & Associates, PC located?

Amy Fayazrad & Associates, PC is located at 3633 W Lake Ave Ste 306, Glenview, IL 60026. The listed phone number is (760) 831-1191.

What is Amy Fayazrad & Associates, PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amy Fayazrad & Associates, PC enrolled in Medicare?

Yes. Amy Fayazrad & Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amy Fayazrad & Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Amy Fayazrad & Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amy Fayazrad & Associates, PC was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.