Rachel Nitzarim, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071009544 Issued in IL

Practice address

241 Golf Mill Ctr
Suite 708
Niles, IL 60714-1224

Phone

(847) 824-8366

NPI assigned

May 11, 2017

Last updated

May 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rosewatter Chicagoland Counseling PLLC

  • Psychologist
  • Chicago, IL
  • NPI 1841940269
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1174059034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 708",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-824-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 708",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-824-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZARIM",
        "first_name": "RACHEL",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071009544",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niles Nursing & Rehabilitation Center, LLC
• Niles Open MRI Inc
• Niles Surgery Center LLC
• Ninva Medical Group LLC
• Meer Nisengolts, M.D.
• Nessa Nkemnji, M.S.
• Rina K Norris, PSY.D.
• North Branch Dermatology LLC
• North Shore Cosmetic Surgery & Wellness Center LTD
• North Shore Physical Medicine

• Psychologist in Niles, IL
• Providers in Niles, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.