Active NPI
Carly Rosenberg, PSYD
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071011469
- Practice address
- 500 N Michigan Ave Ste 1400
Chicago, IL 60611-3759 - Phone
- (630) 428-7890
- NPI assigned
- Feb 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178011735 | IL | |
| Clinical Psychologist | 103TC0700X | 071011469 | IL | Primary |
Addresses
Primary practice location
500 N Michigan Ave Ste 1400
Chicago, IL 60611-3759
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (630) 428-7890
Other practice location 1
2845 N Sheridan Road
Suite 809
Chicago, IL 60657
Phone (877) 384-0635
Other practice location 2
2071 N Southport Ave Ste 100
Chicago, IL 60614-4015
Phone (630) 428-7890
Other practice location 3
7900 Cass Ave Ste 200
Darien, IL 60561-5073
Phone (630) 428-7890
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N Michigan Avennue
Suite 1400
Chicago, IL 60611-3707
Phone (888) 428-7890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178011735 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients | |
| Psychology Specialists LTD | Clinical | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
808 S Eldorado Rd
Ste 300
Bloomington, IL 61704
Phone (309) 827-2962
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
2845 N Sheridan Rd
Ste 809
Chicago, IL 60657
Phone (312) 761-4721
500 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 761-4755
1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720
7900 Cass Ave
Ste 200
Darien, IL 60561
Phone (630) 581-7134
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125
Interoperability endpoints
- lifestancehealth.carlyrosenberg@146897.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1184083503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "630-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MICHIGAN AVE STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113759",
"telephone_number": "630-428-7890"
}
],
"practiceLocations": [
{
"address_1": "2845 N Sheridan Road",
"address_2": "Suite 809",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60657",
"country_code": "US",
"telephone_number": "877-384-0635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2071 N SOUTHPORT AVE STE 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606144015",
"country_code": "US",
"telephone_number": "630-428-7890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Cass Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Darien",
"state": "IL",
"postal_code": "605615073",
"country_code": "US",
"telephone_number": "630-428-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENBERG",
"first_name": "CARLY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178011735",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071011469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 6, 2025; 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.