Individual provider Active NPI

Theresa Sakyiama, M.D.

  • Child & Adolescent Psychiatry Physician
  • Wheaton, IL
National Provider Identifier
1376586800
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036123416 Issued in IL
Practice address
2100 Manchester Rd Ste 1510
Wheaton, IL 60187-4561
Phone
(630) 653-1717
Fax
(630) 653-7926
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036123416 IL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 35553 IA

Addresses

Primary practice location

2100 Manchester Rd Ste 1510
Wheaton, IL 60187-4561

Mailing address

0N202 Woodland CT
Wheaton, IL 60187-3030
Phone (319) 610-0289

Other identifiers 1

IdentifierTypeStateIssuer
0434027MedicaidIA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090925000353 IL Practitioner - Psychiatry 3072595701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2100 Manchester Rd
Suite 956
Wheaton, IL 60187-4651
Phone (319) 610-0289

55 E Loop Rd
Wheaton, IL 60189-1938
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036123416ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wheaton Behavioral Health PLLC Child & Adolescent Psychiatry CurrentSince Oct 1, 2025 Accepting new patients
Edgewood Clinical Services, P.C. CurrentSince May 5, 2025 Accepting new patients
Meier Clinics of Illinois, P.C. Current Accepting new patients
Meier Clinics of Illinois, P.C. CurrentSince Oct 18, 2010 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

2100 Manchester Rd
Ste 956
Wheaton, IL 60187
Phone (319) 610-0289

55 E Loop Rd
Ste 301
Wheaton, IL 60189
Phone (630) 690-7300

55 E Loop Rd
Wheaton, IL 60189
Phone (630) 653-8899

2100 Manchester Rd
Ste 1510
Wheaton, IL 60187
Phone (708) 653-1717

Interoperability endpoints

  • Direct secure messaging: wheatonbehavioralhealth.theresasakyiama@160822.advancedmd-direct.com
  • Direct secure messaging: meierclinics.theresasakyiama@146536.advancedmd-direct.com
  • Direct secure messaging: lifestancehealth.theresasakyiama@146897.advancedmd-direct.com

Organizations & group practices 5

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1376586800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0N202 WOODLAND CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873030",
            "telephone_number": "319-610-0289",
            "fax_number": "630-376-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874561",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKYIAMA",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036123416",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "35553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434027",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.