Active NPI
Adam James Selkirk, PSY.D.
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008818
- Practice address
- 820 W Jackson Blvd Ste 515
Chicago, IL 60607-3061 - Phone
- (773) 220-5634
- NPI assigned
- May 14, 2014
- Last updated
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008818 | IL | Primary |
Addresses
Primary practice location
820 W Jackson Blvd Ste 515
Chicago, IL 60607-3061
Mailing address
906 Columbian Ave
Oak Park, IL 60302-1347
Phone (773) 220-5634
Other practice location 1
137 N Oak Park Ave Ste 328
Oak Park, IL 60301-1375
Phone (773) 220-5634
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071008818 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hejna & Selkirk Psychological Services LLC | Clinical | Current | Accepting new patients |
| Shared Vision Psychological Services | Clinical | Past | Accepting new patients |
| Adam Shafer, P.C. | Clinical | Past | Accepting new patients |
Locations
137 N Oak Park Ave
Ste 328
Oak Park, IL 60301
Phone (708) 837-4541
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Oak Park, IL
- NPI 1922872985
-
dba Shared Vision Psychological Services, dba Pediatric Psychology Assoc.
- Clinical Psychologist
- Oak Brook, IL
- NPI 1275738130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1215348040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 COLUMBIAN AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021347",
"telephone_number": "773-220-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W JACKSON BLVD STE 515",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073061",
"telephone_number": "773-220-5634"
}
],
"practiceLocations": [
{
"address_1": "137 N Oak Park Ave Ste 328",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603011375",
"country_code": "US",
"telephone_number": "773-220-5634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELKIRK",
"first_name": "ADAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008818",
"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 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.