North Shore Psych Solutions Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH SHORE PSYCH SOLUTIONS INC

Practice address

4711 Golf Rd Ste 400
Skokie, IL 60076-1242

Phone

(312) 783-3348

Fax

(847) 679-8340

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Sarah Rees Riley, PSYCHOLOGISTNPI 1457623167

Title

Owner

Phone

(312) 783-3348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Barttrum, PSYD

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1346957487
  Medicare reassignment NPD
• Sarah Elizabeth Rees Riley, PSYD

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1457623167
  NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1124772116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "312-783-3348",
            "fax_number": "847-679-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "312-783-3348",
            "fax_number": "847-679-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PSYCH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-11-10",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "REES RILEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-783-3348",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Shore Women'S Health, S.C.
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• Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.