Individual provider Active NPI

Louis M Schlifke, PSY.D.

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1306870217
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006637 Issued in IL
Practice address
1935 Shermer Rd
Suite 160
Northbrook, IL 60062-5384
Phone
(847) 920-4304
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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 071006637 IL Primary

Addresses

Primary practice location

1935 Shermer Rd
Suite 160
Northbrook, IL 60062-5384

Mailing address

1935 Shermer Rd
Suite 160
Northbrook, IL 60062-5384
Phone (847) 920-4304

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
I20050617000357 IL Practitioner - Clinical Psychologist 6204870421 Practice locations: Lincolnshire, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 Pkwy Dr
Suite 150
Lincolnshire, IL 60069-4340
Phone (847) 920-4304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1306870217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SHERMER RD",
            "address_2": "SUITE 160",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625384",
            "telephone_number": "847-920-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SHERMER RD",
            "address_2": "SUITE 160",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625384",
            "telephone_number": "847-920-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIFKE",
        "first_name": "LOUIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.