Individual provider Active NPI

Cheryl M Saafir, PSY.D.

  • Clinical Psychologist
  • South Holland, IL
National Provider Identifier
1033129663
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006399 Issued in IL
Practice address
16555 Luella Ave
South Holland, IL 60473-2673
Phone
(708) 557-8805
Fax
(708) 596-5622
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006399 IL Primary

Addresses

Primary practice location

16555 Luella Ave
South Holland, IL 60473-2673

Mailing address

PO Box 38
South Holland, IL 60473-0038
Phone (708) 557-8805

Other identifiers 1

IdentifierTypeStateIssuer
01632797OtherBLUECROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000255 IL Practitioner - Clinical Psychologist 2365457231 Reassigns benefits to 1 organization
Practice locations: South Holland, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15475 S Park Ave
Suite 104
South Holland, IL 60473-1378
Phone (708) 557-8805

16555 Luella Ave
South Holland, IL 60473-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davken Associates, P.C. Clinical CurrentSince Jun 1, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1033129663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604730038",
            "telephone_number": "708-557-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 LUELLA AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732673",
            "telephone_number": "708-557-8805",
            "fax_number": "708-596-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAFIR",
        "first_name": "CHERYL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "01632797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.