Rebecca L Hall, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071007445 Issued in IL

Practice address

14315 108TH Ave
Ste 220
Orland Park, IL 60467-5700

Phone

(630) 779-8525

Fax

(708) 403-6796

NPI assigned

Aug 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 6, 2018 through Sep 6, 2026

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.

• Bright Futures Psychological Services

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1497022008
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1184734147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE",
            "address_2": "SUITE 220",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675700",
            "telephone_number": "708-669-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE",
            "address_2": "STE 220",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675700",
            "telephone_number": "630-779-8525",
            "fax_number": "708-403-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178002308",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01623882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yafa Hajali, PTA
• Mala Hajat, MD
• Kristina Nancy Hajek, PA-C
• Amtul Hajira, D.O.
• Dana Hall, MA, LCPC
• Erika Halverson, BCBA
• Hanan Tayseer Hamad, M.S.
• Isra Hamad, D.D.S.
• Maysem Hammad
• Lisa Hammons, APN

• Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.