Individual provider Active NPI

Abigail Benton Sivan, PH.D.

  • Health Service Psychologist
  • Wilmette, IL
National Provider Identifier
1023093515
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
00092 Issued in IA
Practice address
3330 Old Glenview Rd
Suite 5
Wilmette, IL 60091-2963
Phone
(847) 251-3261
Fax
(847) 730-3003
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00431 IA
Health Service Psychologist 103TH0100X 00092 IA Primary
Clinical Psychologist 103TC0700X IL

Addresses

Primary practice location

3330 Old Glenview Rd
Suite 5
Wilmette, IL 60091-2963

Mailing address

2000 Dewes St
Glenview, IL 60025-4239
Phone (847) 486-1492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-003700ILMDClinical Psychologist
00092IAMDHealth Service Psychologist
00431IAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023093515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DEWES ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254239",
            "telephone_number": "847-486-1492",
            "fax_number": "847-730-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD",
            "address_2": "SUITE 5",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-251-3261",
            "fax_number": "847-730-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAN",
        "first_name": "ABIGAIL",
        "middle_name": "BENTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00431",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "00092",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.