Individual provider Active NPI

Caroline Michele Onischak, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1285976936
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209020867 Issued in IL
Practice address
1845 Grandstand PL
Elgin, IL 60123-4983
Phone
(847) 695-0484
Fax
(847) 695-1436
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 041.408853 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209020867 IL Primary

Addresses

Primary practice location

1845 Grandstand PL
Elgin, IL 60123-4983

Mailing address

1845 Grandstand PL
Elgin, IL 60123-4983
Phone (847) 695-0484

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506002782 IL Practitioner - Nurse Practitioner 6709217797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

2300 Lehigh Ave
Suite 215
Glenview, IL 60026-1692
Phone (847) 621-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.408853ILMDAdult Psychiatric/Mental Health Registered Nurse
209020867ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Streamwood Hospital Inc. CurrentSince Mar 31, 2020 Accepting new patients
TMS Clinical Services PLLC CurrentSince Feb 25, 2022 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Feb 24, 2025 Accepting new patients
Relief Mental Health PastSince Dec 6, 2020 Accepting new patients

Locations

2300 Lehigh Ave
Ste 215
Glenview, IL 60026
Phone (847) 621-7700

899 Skokie Blvd
Ste 260
Northbrook, IL 60062
Phone (630) 970-6602

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578

Interoperability endpoints

  • Direct secure messaging: caroline.onischak.1@25899.direct.athenahealth.com

Organizations & group practices 4

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1285976936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234983",
            "telephone_number": "847-695-0484",
            "fax_number": "847-695-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234983",
            "telephone_number": "847-695-0484",
            "fax_number": "847-695-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONISCHAK",
        "first_name": "CAROLINE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "041.408853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209020867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.