Individual provider Active NPI

Yana Dubinsky, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1114208840
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008102 Issued in IL
Practice address
1460 N Halsted St
Suite 504
Chicago, IL 60642-2605
Phone
(847) 686-0090
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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 071.008102 IL Primary

Addresses

Primary practice location

1460 N Halsted St
Suite 504
Chicago, IL 60642-2605

Mailing address

400 Skokie Blvd
Ste 245
Northbrook, IL 60062-7932
Phone (847) 686-0090

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
I20170718003585 IL Practitioner - Clinical Psychologist 0648540096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Collective Hope, LLCGroup PAC ID 7810281052, 2 clinicians

Practice addresses (Care Compare)

1142 W Madison St
Suite 406
Chicago, IL 60607-2191
Phone (773) 599-9746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.008102ILMDClinical Psychologist

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, 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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1114208840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD",
            "address_2": "STE 245",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627932",
            "telephone_number": "847-686-0090",
            "fax_number": "847-686-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST",
            "address_2": "SUITE 504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422605",
            "telephone_number": "847-686-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBINSKY",
        "first_name": "YANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.