Active NPI
Andrea Fink, PH.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1255330130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 71003453
- Practice address
- 4256 N Ravenswood Ave Ste 314
Chicago, IL 60613-1114 - Phone
- (773) 292-9266
- Fax
- (773) 292-0639
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 71003453 | IL | Primary |
Addresses
Primary practice location
4256 N Ravenswood Ave Ste 314
Chicago, IL 60613-1114
Mailing address
4256 N Ravenswood Ave Ste 314
Chicago, IL 60613-1114
Phone (773) 292-9266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01673445 | Other | IL | BLUE CROSS BLUE SHIELD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101119000940 | IL | Practitioner - Clinical Psychologist | 9830385533 | Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4256 N Ravenswood Ave
Suite 314
Chicago, IL 60613-1114
Phone (773) 292-9266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003453 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1255330130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4256 N RAVENSWOOD AVE STE 314",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131114",
"telephone_number": "773-292-9266",
"fax_number": "773-292-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4256 N RAVENSWOOD AVE STE 314",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131114",
"telephone_number": "773-292-9266",
"fax_number": "773-292-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "ANDREA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "71003453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01673445",
"state": "IL"
}
],
"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 Feb 3, 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.