Provider Demographics
NPI:1447538160
Name:NEW DAY PSYCHOLOGY LLC
Entity type:Organization
Organization Name:NEW DAY PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERED
Authorized Official - Middle Name:
Authorized Official - Last Name:DOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-980-8707
Mailing Address - Street 1:580 ROGER WILLIAMS AVE
Mailing Address - Street 2:#22
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4823
Mailing Address - Country:US
Mailing Address - Phone:847-980-8707
Mailing Address - Fax:
Practice Address - Street 1:580 ROGER WILLIAMS AVE
Practice Address - Street 2:#22
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4823
Practice Address - Country:US
Practice Address - Phone:847-980-8707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007907103TC0700X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty