Individual provider Active NPI

Alexandra Isaacs, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1124548425
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043035A. Issued in IN
Practice address
1850 N Lincoln
Unit G
Chicago, IL 60614
Phone
(773) 412-7274
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 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 20043035A. IN Primary

Addresses

Primary practice location

1850 N Lincoln
Unit G
Chicago, IL 60614

Mailing address

1850 N Lincoln Ave Unit G
Chicago, IL 60614-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043035A.INMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Neurobehavioral Associates LLC Clinical Current Accepting new patients
Starr Commonwealth Clinical Current Accepting new patients
Elysian Psychology Inc Psychologist Current Accepting new patients
Starr Commonwealth Past Accepting new patients

Locations

13725 Starr Commonwealth Rd
#R
Albion, MI 49224

13725 Starr Commonwealth Rd
Albion, MI 49224
Phone (517) 629-5591

35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446

Organizations & group practices 4

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1124548425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N LINCOLN AVE UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N LINCOLN",
            "address_2": "UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-412-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "ALEXANDRA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043035A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.