Active NPI
Abigail Strom Hardin
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 000000000
- Practice address
- 710 S Paulina St Ste 732
Chicago, IL 60612 - Phone
- (312) 942-5932
- NPI assigned
- Apr 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 000000000 | IL | Primary |
Addresses
Primary practice location
710 S Paulina St Ste 732
Chicago, IL 60612
Mailing address
710 S Paulina St Ste 732
Chicago, IL 60612-3808
Phone (312) 942-5932
Other practice location 1
1959 NE Pacific St
Box 356560
Seattle, WA 98195-0001
Phone (206) 543-7576
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000000 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Clinical | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1750 W Harrison St
#310
Chicago, IL 60612
Phone (312) 942-5932
1645 W Jackson Blvd
Ste 400
Chicago, IL 60612
Phone (312) 942-5932
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
710 S Paulina St
#742
Chicago, IL 60612
Phone (312) 563-2531
710 S Paulina St
Ste 732
Chicago, IL 60612
Phone (312) 942-5661
Interoperability endpoints
- ahardin157217@direct.rush.rush-health.com
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": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1083068639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S PAULINA ST STE 732",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123808",
"telephone_number": "312-942-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S PAULINA ST STE 732",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-5932"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific St",
"address_2": "Box 356560",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981950001",
"country_code": "US",
"telephone_number": "206-543-7576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDIN",
"first_name": "ABIGAIL",
"middle_name": "STROM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "000000000",
"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 Aug 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.