Individual provider Active NPI

Silvia Francesca Bozzano Beck, PHD

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1124127022
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-006081 Issued in IL
Practice address
5 Revere Dr Ste 200
Northbrook, IL 60062-8000
Phone
(847) 496-0040
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071006081 IL
Clinical Psychologist 103TC0700X 071-006081 IL Primary

Addresses

Primary practice location

5 Revere Dr Ste 200
Northbrook, IL 60062-8000

Mailing address

5 Revere Dr Ste 200
Northbrook, IL 60062-8000
Phone (847) 496-0040

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
I20040611000880 IL Practitioner - Clinical Psychologist 5395728109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Revere Dr
Suite 200
Northbrook, IL 60062-8000
Phone (847) 309-7641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-006081ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Behavioral Health Group, P.C. Clinical CurrentSince Feb 26, 2023 Accepting new patients
Silvia Bozzano Beck, PH.D. PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206

5550 Touhy Ave
Ste 404
Skokie, IL 60077
Phone (773) 466-0847

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1124127022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628000",
            "telephone_number": "847-496-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628000",
            "telephone_number": "847-496-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZANO BECK",
        "first_name": "SILVIA",
        "middle_name": "FRANCESCA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006081",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.