Sandra Faith Swain, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

336079575 Issued in IL

Practice address

501 Peterson Rd
Libertyville, IL 60048-1082

Phone

(708) 532-0330

Fax

(847) 680-3844

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Sandra Faith Swain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Allied Psychological Services LTD

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1982876116
  NPD (past)
• Southside Christian Counseling Center

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1861790883
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1295811016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 N GREENWOOD AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600048428",
            "telephone_number": "708-532-0330",
            "fax_number": "847-680-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481082",
            "telephone_number": "708-532-0330",
            "fax_number": "847-680-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "SANDRA",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "336079575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079575",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SWAIN",
            "middle_name": "FAITH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Superior Medical Services, LTD
• Surgeons of Lake County LLC
• Daniel C Surowiec, DPM, MS
• Katherine G Sutor, LCPC
• Melinda Griffith Sutter
• Kayal M Swaminathan
• Christina Anne Swanson, M.D.
• Ellen J Swiderski, M.S CCC-SLP
• Sadia Syed, M.D.
• Beth Anne Sylvester, MD

• Psychiatry Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.