Individual provider Active NPI

Nechama Freedman, PSY.D.

  • Clinical Psychologist
  • Lincolnwood, IL
National Provider Identifier
1376812610
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009122 Issued in IL
Practice address
7366 N Lincoln Ave Ste 310
Lincolnwood, IL 60712-1740
Phone
(847) 350-1190
Fax
(855) 932-2011
NPI assigned
Dec 15, 2011
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 071009122 IL Primary

Addresses

Primary practice location

7366 N Lincoln Ave Ste 310
Lincolnwood, IL 60712-1740

Mailing address

2900 W Sherwin Ave
Chicago, IL 60645-1210
Phone (847) 350-1190

Other names 1

  • Nechama Polsky Other name

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
I20151014002714 IL Practitioner - Clinical Psychologist 9436468493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009122ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Careforce Homehealth Inc. CurrentSince Oct 30, 2022 Accepting new patients
Gottlieb Community Health Services Corporation PastSince Oct 12, 2015 Accepting new patients

Locations

9933 Lawler Ave
Ste 331
Skokie, IL 60077
Phone (847) 388-0060

Organizations & group practices 3

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1376812610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W SHERWIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451210",
            "telephone_number": "847-350-1190",
            "fax_number": "855-932-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE STE 310",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121740",
            "telephone_number": "847-350-1190",
            "fax_number": "855-932-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "NECHAMA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NECHAMA",
            "last_name": "POLSKY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.