Active NPI
Ericka Joy Swanson, PSY.D.
- Psychologist
- Frankfort, IL
National Provider Identifier
1285944900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.007992
- Practice address
- 20550 Lagrange Rd
Suite 105
Frankfort, IL 60423 - Phone
- (708) 448-3300
- NPI assigned
- Oct 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.007992 | IL | Primary |
| Psychologist | 103T00000X | 20042445A | IN |
Addresses
Primary practice location
20550 Lagrange Rd
Suite 105
Frankfort, IL 60423
Mailing address
13011 S. 104TH Avenue
Suite 200
Palos Park, IL 60464
Phone (708) 448-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9305 Calumet Ave
Suite C2
Munster, IN 46321-2888
Phone (219) 805-0451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007992 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ericka Swanson PSYD Inc. | Psychologist | Current | Accepting new patients |
| Marlin C Hoover PHD PC | Current | Accepting new patients | |
| Miracare Neuro Behavioral Health, PC | Psychologist | Past | Accepting new patients |
Locations
16325 Harlem Ave
Tinley Park, IL 60477
Phone (708) 403-9556
9305 Calumet Ave
Ste C2
Munster, IN 46321
Phone (219) 805-0451
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 and National Provider Directory roles.
-
- Psychologist
- Munster, IN
- NPI 1881222016
-
- Clinical Psychologist
- Tinley Park, IL
- NPI 1871578625
-
- Psychologist
- Palos Heights, IL
- NPI 1649329251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1285944900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13011 S. 104TH AVENUE",
"address_2": "SUITE 200",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "60464",
"telephone_number": "708-448-3300",
"fax_number": "708-448-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20550 LAGRANGE RD",
"address_2": "SUITE 105",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "60423",
"telephone_number": "708-448-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ERICKA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.007992",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042445A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.