Individual provider Active NPI

Stacey Lipson, PSYD

  • Psychologist
  • Skokie, IL
National Provider Identifier
1225310857
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5550 Touhy Ave Ste 404
Skokie, IL 60077-3253
Phone
(773) 466-0847
Fax
(708) 681-9280
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

5550 Touhy Ave Ste 404
Skokie, IL 60077-3253

Mailing address

5550 Touhy Ave Ste 404
Skokie, IL 60077-3253
Phone (773) 466-0847

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Behavioral Health Group, P.C. CurrentSince Sep 5, 2023 Accepting new patients
Shamsi Psychological Services, PLLC Current Accepting new patients

Locations

1801 W Warner Ave
Ste 204
Chicago, IL 60613
Phone (847) 208-3802

191 Waukegan Rd
Ste 208
Northfield, IL 60093

1100 Jorie Blvd
Ste 220
Oak Brook, IL 60523
Phone (312) 818-2779

5550 Touhy Ave
Ste 404
Skokie, IL 60077
Phone (773) 466-0847

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1225310857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 TOUHY AVE STE 404",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773253",
            "telephone_number": "773-466-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TOUHY AVE STE 404",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773253",
            "telephone_number": "773-466-0847",
            "fax_number": "708-681-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "STACEY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.