Loay J Sandouka, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007931 Issued in IL

Practice address

1644 W Colonial Pkwy
Inverness, IL 60067-1207

Phone

(847) 776-4500

Fax

(847) 776-4724

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1063790749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671207",
            "telephone_number": "847-776-4500",
            "fax_number": "847-776-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671207",
            "telephone_number": "847-776-4500",
            "fax_number": "847-776-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOUKA",
        "first_name": "LOAY",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Reeg, LPC
• David Patrick Ritter, DDS
• Doris Romans, WHNP-BC
• Denise Rosas, LCSW, CADC
• Rosewood Care Center, Inc of Inverness
• Amanda Saylor, SLP
• Leonard Schmelkin, MSSW
• Sheila Schmidt, CADC
• Chelsie Rene' Scoggin-Chang, LCPC
• Serenity Counseling and Wellness

• Clinical Psychologist in Inverness, IL
• Providers in Inverness, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.