Active NPI
Rosanna Amelia Chertok, PSYD
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071011317
- Practice address
- 1414 S Fairfield Ave
Chicago, IL 60608 - Phone
- (773) 565-3250
- NPI assigned
- May 9, 2024
- 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 |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 071011317 | IL | |
| Clinical Psychologist | 103TC0700X | 071011317 | IL | Primary |
Addresses
Primary practice location
1414 S Fairfield Ave
Chicago, IL 60608
Mailing address
1526 W Monroe St Apt 502
Chicago, IL 60607-2458
Phone (773) 782-0711
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071011317 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients |
Locations
1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
Organizations & group practices 3
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.
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
dba SMG Archer POB
- Internal Medicine Physician
- Chicago, IL
- NPI 1568883908
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1023006566
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1073361457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 W MONROE ST APT 502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072458",
"telephone_number": "773-782-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S FAIRFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "773-565-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERTOK",
"first_name": "ROSANNA",
"middle_name": "AMELIA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-10-29",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "IL",
"license": "071011317",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071011317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Kylie Marie Cherpes, LCSW
- Adrienne Cherry
- Camille A Cherry, APRN, CNP
- Garrett Cherry, MD
- Victoria Lynn Cherry, LCSW
- Cherub Cares (Homewatch CareGivers of Lincolnwood Nursing Services)
- Cherub Cares (Homewatch CareGivers Lincolnwood)
- Alisa Cristine Cherubini, MS, RDN
- Srinivas Cherukuri, MD
- Ernest Alfred Cherullo III, SPEECH PATHOLOGIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.