Individual provider Active NPI

Artrina Slabich-Pollak, PSY.D.

  • Clinical Psychologist
  • Oak Lawn, IL
National Provider Identifier
1144853383
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010257 Issued in IL
Practice address
4700 W 95TH St Ste 205
Oak Lawn, IL 60453-2574
Phone
(708) 684-7938
Fax
(708) 499-3301
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 071010257 IL Primary

Addresses

Primary practice location

4700 W 95TH St Ste 205
Oak Lawn, IL 60453-2574

Mailing address

4700 W 95TH St Ste 205
Oak Lawn, IL 60453-2574
Phone (708) 684-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071010257ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1144853383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST STE 205",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532574",
            "telephone_number": "708-684-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST STE 205",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532574",
            "telephone_number": "708-684-7938",
            "fax_number": "708-499-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABICH-POLLAK",
        "first_name": "ARTRINA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.