Individual provider Active NPI

Naomi Sugunasingha

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1043552342
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010800 Issued in IL
Practice address
303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone
(312) 600-3935
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 071.010800 IL Primary

Addresses

Primary practice location

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227

Mailing address

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

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
I20230404001911 IL Practitioner - Clinical Psychologist 1052786027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Psychological Services PCGroup PAC ID 0547568891, 7 clinicians

Practice addresses (Care Compare)

303 E Wacker Dr
Suite 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.010800ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychological Services, PC Clinical CurrentSince Mar 23, 2023 Accepting new patients

Locations

303 E Wacker Dr
Ste 1130
Chicago, IL 60601
Phone (312) 600-3935

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1043552342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-600-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-600-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGUNASINGHA",
        "first_name": "NAOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.