Organization Active NPI

Daniel Sorkin, Psy.D., LLC

  • Clinical Psychologist
  • Lincolnshire, IL
National Provider Identifier
1134432537
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007898 Issued in IL
Legal business name
DANIEL SORKIN, PSY.D., LLC
Practice address
430 North Milwaukee Avenue
Suite 15
Lincolnshire, IL 60069
Phone
(224) 688-7798
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Daniel J Sorkin, PSY.D.
Title
Licensed Clinical Psychologist
Phone
(224) 688-7798

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 071007898 IL
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 071007898 IL Primary

Addresses

Primary practice location

430 North Milwaukee Avenue
Suite 15
Lincolnshire, IL 60069

Mailing address

430 North Milwaukee Avenue
Suite 15
Lincolnshire, IL 60069
Phone (224) 688-7798

Other names 1

  • Waites Sorkin Center For Comprehensive Psychological Services, LLC. Former legal business name

National Provider Directory

National Provider Directory

Locations

430 Milwaukee Ave
Ste 15
Lincolnshire, IL 60069
Phone (224) 688-7798

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1134432537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NORTH MILWAUKEE AVENUE",
            "address_2": "SUITE 15",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "224-688-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NORTH MILWAUKEE AVENUE",
            "address_2": "SUITE 15",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "224-688-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SORKIN, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "SORKIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED  CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "224-688-7798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007898",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waites Sorkin Center For Comprehensive Psychological Services, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.