Teresa Barttrum, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010828 Issued in IL

Practice address

4711 Golf Rd Ste 400
Skokie, IL 60076-1242

Phone

(312) 450-0767

Fax

(847) 679-8340

NPI assigned

Oct 28, 2022

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North Shore Psych Solutions Inc

  • Psychologist
  • Skokie, IL
  • NPI 1124772116
  Medicare reassignment NPD

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1346957487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "312-450-0767",
            "fax_number": "847-679-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "312-450-0767",
            "fax_number": "847-679-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTTRUM",
        "first_name": "TERESA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Barrett
• Carolyn Anne Barsano, PSY.D.
• Ethel Ina Bartky, M.S., LMFT
• Francisco Bartolome
• Erin R Barton-Yates, APN-CNP
• Ray Basa, SA
• Louis Basaka, DNP, FNP-C
• Ravi Kant Bashyal, M.D.
• Danielle Bass, M.D.
• Angel Bassuk, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; 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.