Individual provider Active NPI

Stanley Selinger, PH.D.

  • Clinical Psychologist
  • Flossmoor, IL
National Provider Identifier
1063490795
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
3235 Vollmer Rd
Suite 137
Flossmoor, IL 60422-2013
Phone
(708) 798-2442
Fax
(708) 206-1399
NPI assigned
Jan 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

3235 Vollmer Rd
Suite 137
Flossmoor, IL 60422-2013

Mailing address

PO Box 305
Flossmoor, IL 60422-0305
Phone (708) 798-2442

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
I20050211000497 IL Practitioner - Clinical Psychologist 1052363694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affiliates in Counseling LLCGroup PAC ID 1254478514, 12 clinicians

Practice addresses (Care Compare)

910 Skokie Blvd
Suite 215
Northbrook, IL 60062-4033
Phone (847) 480-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071002778ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Counseling LLC Clinical CurrentSince Oct 29, 2018 Accepting new patients
Family Child & Adolescent Psychiatric Services SC Past Accepting new patients

Locations

910 Skokie Blvd
Ste 215
Northbrook, IL 60062
Phone (847) 412-0280

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063490795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604220305",
            "telephone_number": "708-798-2442",
            "fax_number": "708-206-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 VOLLMER RD",
            "address_2": "SUITE 137",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222013",
            "telephone_number": "708-798-2442",
            "fax_number": "708-206-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELINGER",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.