Samer N Effarah, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071.007262 Issued in IL

Practice address

756 N Leavitt St Apt 4N
Chicago, IL 60612-1360

Phone

(773) 383-0146

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pro Psych Associates SC

  • Psychiatry Physician
  • Park Ridge, IL
  • NPI 1033267661
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1275741027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N LEAVITT ST APT 4N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121360",
            "telephone_number": "773-383-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N LEAVITT ST APT 4N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121360",
            "telephone_number": "773-383-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFARAH",
        "first_name": "SAMER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.007262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Touwanna Edwards, PSY.D, LCSW, CADC
• Twana Edwards
• Tyler Edwards
• Eeg Enterprises, Inc.
• Haneen Efein, PSYD
• Effective Lifestyle Solutions, PLLC
• Effective Path PLLC
• Tobin R Efferen, M.D.
• Effloresce Therapy, Inc
• Efp Eyewear, Inc.

• 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 Nov 16, 2020; 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.