Individual provider Active NPI

Michael Losoff, PH.D.

  • Psychologist
  • Northbrook, IL
National Provider Identifier
1184772253
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-004947 Issued in IL
Practice address
910 Skokie Blvd Ste 208
Northbrook, IL 60062-4033
Phone
(708) 263-9655
Fax
(773) 389-2352
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071-004947 IL Primary

Addresses

Primary practice location

910 Skokie Blvd Ste 208
Northbrook, IL 60062-4033

Mailing address

910 Skokie Blvd Ste 208
Northbrook, IL 60062-4033
Phone (708) 263-9655

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-004947ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bedrock Psychology Group, PLLC Past Accepting new patients
Perrotta and Kraus PHDS PC Psychologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1184772253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD STE 208",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624033",
            "telephone_number": "708-263-9655",
            "fax_number": "773-389-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD STE 208",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624033",
            "telephone_number": "708-263-9655",
            "fax_number": "773-389-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSOFF",
        "first_name": "MICHAEL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-004947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.