Active NPI
Ikram Hassan, PSY.D
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1053089839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 500 N Michigan Ave
Chicago, IL 60611-3777 - Phone
- (888) 466-0674
- NPI assigned
- Sep 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
500 N Michigan Ave
Chicago, IL 60611-3777
Mailing address
500 N Michigan Ave Ste 1400
Chicago, IL 60611-3759
Phone (844) 369-9449
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
Locations
500 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 761-4755
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": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1053089839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N MICHIGAN AVE STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113759",
"telephone_number": "844-369-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113777",
"telephone_number": "888-466-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "IKRAM",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.