Active NPI
Daniel Sorkin, Psy.D., LLC
- Clinical Psychologist
- Lincolnshire, IL
National Provider Identifier
1134432537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007898
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071007898 | IL | |
| Clinical Psychologist | 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.
National Provider Directory
National Provider DirectoryLocations
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.