NPIMap

Organization Active NPI

Sherrie D All, PHD, PC

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1164776175
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071007929 Issued in IL
Legal business name
SHERRIE D ALL, PHD, PC
Practice address
30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611
Phone
(855) 264-9355
Fax
(855) 792-0240
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Sherrie D All, PHDNPI 1255643896
Title
Owner
Phone
(855) 264-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 071007929 IL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611

Mailing address

30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611
Phone (855) 264-9355

Other practice location 1

5530 Wisconsin Ave Ste 1528
Chevy Chase, MD 20815-4300
Phone (855) 264-9355

Other names 1

  • Centers for Cognitive Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130213000250 IL Part B Supplier - Clinic/Group Practice 7618121922 Receives reassigned benefits from 12 practitioners
Practice locations: Chicago, IL
O20220222000245 DC Part B Supplier - Clinic/Group Practice 7618121922 Receives reassigned benefits from 1 practitioner
Practice locations: Chevy Chase, MD

National Provider Directory

National Provider Directory

Locations

30 N Michigan Ave
Ste 202
Chicago, IL 60602

6033 N Sheridan Rd
Ste S7
Chicago, IL 60660
Phone (708) 320-8801

30 N Michigan Ave
Ste 2029
Chicago, IL 60602
Phone (773) 345-3495

1601 Sherman Ave
#210
Evanston, IL 60201
Phone (312) 806-7850

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1164776175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 2029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023611",
            "telephone_number": "855-264-9355",
            "fax_number": "855-792-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 2029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023611",
            "telephone_number": "855-264-9355",
            "fax_number": "855-792-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Wisconsin Ave Ste 1528",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154300",
            "country_code": "US",
            "telephone_number": "855-264-9355",
            "fax_number": "855-792-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHERRIE D ALL, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "ALL",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-264-9355",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071007929",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centers for Cognitive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.