Individual provider Active NPI

James M Dod, PH.D.

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1053465500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500
Phone
(847) 480-1341
Fax
(847) 480-1348
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500

Mailing address

1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500
Phone (847) 480-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 12, 2026 through Mar 12, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-004154ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
James M. Dod, PH.D. LTD Clinical CurrentSince Mar 1, 2004 Accepting new patients

Locations

1200 Shermer Rd
Ste 208
Northbrook, IL 60062
Phone (847) 480-0132

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053465500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SHERMER RD",
            "address_2": "SUITE 208",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624500",
            "telephone_number": "847-480-1341",
            "fax_number": "847-480-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SHERMER RD",
            "address_2": "SUITE 208",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624500",
            "telephone_number": "847-480-1341",
            "fax_number": "847-480-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOD",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.