Individual provider Active NPI

Annemarie Slobig, PSY.D.

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1306034210
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
1145 Westgate St
Suite 200
Oak Park, IL 60301-1089
Phone
(708) 383-2000
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

1145 Westgate St
Suite 200
Oak Park, IL 60301-1089

Mailing address

1145 Westgate St
Suite 200
Oak Park, IL 60301-1089
Phone (708) 383-2000

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904001746 IL Practitioner - Clinical Psychologist 5597071530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.005236ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Annemarie Slobig, PSYD, PC Clinical CurrentSince Jun 27, 2015 Accepting new patients

Locations

137 N Oak Park Ave
#400
Oak Park, IL 60301
Phone (708) 386-8800

Organizations & group practices 1

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1306034210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WESTGATE ST",
            "address_2": "SUITE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011089",
            "telephone_number": "708-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 WESTGATE ST",
            "address_2": "SUITE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011089",
            "telephone_number": "708-383-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBIG",
        "first_name": "ANNEMARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.