Phyllis Dawson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006488 Issued in IL

Practice address

666 Dundee Rd Ste 1302
Northbrook, IL 60062-2736

Phone

(224) 326-0025

Fax

(847) 400-5828

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phyllis Dawson, Psy.D., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
  • NPI 1063061984
  Medicare reassignment NPD Authorized official
• Michael J. Athans, PH.D. and Associates, LTD.

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1235100140
  Medicare reassignment NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1346258449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1302",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622736",
            "telephone_number": "224-326-0025",
            "fax_number": "847-400-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1302",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622736",
            "telephone_number": "224-326-0025",
            "fax_number": "847-400-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Main St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684060",
            "country_code": "US",
            "telephone_number": "847-823-4444 x3",
            "fax_number": "847-823-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David I Rosen MD LTD
• David Kushner DO PC
• David R. Turok, DDS,PC
• David Schreiber MD LLC
• Isis Davis
• Dba- Nicolette Komie and Associates
• Alyssa De Chavez
• Jose Abraham De la Torre
• Rebecca Rae De Rosa, LPC
• Caitlin Elizabeth Dean

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.