| NPI | 1417621541 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2021-08-03 |
| Last Updated | 2025-04-24 |
| Mailing Address | 725 Pine St Deerfield, IL 60015-4011 United States Phone: (818) 263-0404 📍 View Map |
| Primary Practice Address | 645 Landwehr Rd Northbrook, IL 60062-2309 United States Phone: (224) 306-9464 | Fax: (224) 306-9524 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2084P0800X – Psychiatry & Neurology, Psychiatry | IL | 036083810 |
| No | 261Q00000X – Clinic/Center | IL | 036083810 |
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | IL | 277003835 |
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About NPI 1417621541
Sarah Tisser APRN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417621541. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Northbrook, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-08-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417621541?
NPI 1417621541 belongs to Sarah Tisser APRN, a Nurse Practitioner, Psych/Mental Health in Northbrook, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417621541 active?
The current status of NPI 1417621541 in the NPPES registry is Active. The record was last updated on 2025-04-24.
What specialty is NPI 1417621541?
NPI 1417621541 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417621541?
You can verify NPI 1417621541 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417621541?
The primary practice address on file for NPI 1417621541 is 645 Landwehr Rd, Northbrook, IL 60062-2309. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417621541 issued?
NPI 1417621541 was first issued (enumerated) on 2021-08-03. The NPPES record was last updated on 2025-04-24.
Practice Location Map
Sarah Tisser is located at 645 Landwehr Rd, Northbrook, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sarah Tisser. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417621541. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 036083810 | IL |
| Clinic/Center | 036083810 | IL |
| Nurse Practitioner, Psych/Mental Health | 277003835 | IL |