Erin Raith Soruco, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008945 Issued in IL

Practice address

1200 Harger Rd
Suite 600
Oak Brook, IL 60523

Phone

(630) 571-5750

NPI assigned

Apr 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Erin Soruco PLLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1659198471
  NPD Authorized official
• Adam Shafer, P.C.

  dba Moonlightwellbeing

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1659804003
  NPD (past)
• Shared Vision Psychological Services

  dba Shared Vision Psychological Services, dba Pediatric Psychology Assoc.

  • Clinical Psychologist
  • Oak Brook, IL
  • NPI 1275738130
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1144664319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "1111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "847-497-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "address_2": "SUITE 600",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-571-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 W Jackson Blvd Ste 1111",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043573",
            "country_code": "US",
            "telephone_number": "847-497-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORUCO",
        "first_name": "ERIN",
        "middle_name": "RAITH",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Smith
• Deborah Sobieszczyk, MSW
• Katarzyna Sojka
• Someone to Talk to, Inc.
• Judith Barbara Sommers Hanson, PHARM.D.,CDM
• Soulbrite Clinical Associates
• Sound Center Incorporated
• James T Spahn, PT, DPT
• Anuradha Spain, MA, LCSW
• Christine Spear, ATC

• Clinical Psychologist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.