Lydia A Wardin, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071009599 Issued in IL

Practice address

6033 N Sheridan Rd Ste S7
Chicago, IL 60660-3013

Phone

(855) 264-9355

Fax

(877) 259-2359

NPI assigned

Jul 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sherrie D All, PHD, PCGroup PAC ID 7618121922, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sherrie D All, PHD, PC

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1164776175
  Medicare reassignment Care Compare group NPD
• Affiliates in Counseling LLC

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1003868472
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1255853073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD STE S7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603013",
            "telephone_number": "855-264-9355",
            "fax_number": "877-259-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD STE S7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603013",
            "telephone_number": "855-264-9355",
            "fax_number": "877-259-2359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602015038",
            "country_code": "US",
            "telephone_number": "855-264-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602015038",
            "country_code": "US",
            "telephone_number": "855-264-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDIN",
        "first_name": "LYDIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071009599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Ward, LCSW
• Shamshoun Warda, CSA
• Shana Christine Warda, PA-C
• Panupong Wardchaodee
• Cale Jenks Wardell, PMHNP-BC
• Anna Ware, CCC/SLP
• Ashley Chanti Ware, LAT, ATC
• Belinda Ware
• Dexter Ware, OTR
• Ebony Ware, LCPC

• Clinical Neuropsychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.

Verify at the official NPI Registry.