Individual provider Active NPI

Timothy Sterzik, PSY.D.

  • Psychologist
  • Chicago, IL
National Provider Identifier
1306822630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8601 W Bryn Mawr Ave
Forster Counseling
Chicago, IL 60631-3570
Phone
(773) 695-0900
Fax
(773) 695-0700
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IL Primary

Addresses

Primary practice location

8601 W Bryn Mawr Ave
Forster Counseling
Chicago, IL 60631-3570

Mailing address

1249 Wood St
Deerfield, IL 60015-2947
Phone (847) 236-1840

Other identifiers 2

IdentifierTypeStateIssuer
01618781OtherILBS/BC
P00239005OtherILMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071006744ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forster Counseling and Psychological Services, Inc. Past Accepting new patients
Rehabilitation Associates of the Midwest, S.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306822630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 WOOD ST",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152947",
            "telephone_number": "847-236-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W BRYN MAWR AVE",
            "address_2": "FORSTER COUNSELING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313570",
            "telephone_number": "773-695-0900",
            "fax_number": "773-695-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERZIK",
        "first_name": "TIMOTHY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BC",
            "identifier": "01618781",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00239005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.