Active NPI
Scott Feldman, MD
- Psychiatry Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036095587
- Practice address
- 820 Davis St
Suite # 450
Evanston, IL 60201-4431 - Phone
- (847) 328-2404
- Fax
- (847) 328-1295
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036095587 | IL | Primary |
Addresses
Primary practice location
820 Davis St
Suite # 450
Evanston, IL 60201-4431
Mailing address
1565 Maple Ave
Suite 105
Evanston, IL 60201-4371
Phone (847) 246-4783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095587 | Medicaid | IL | |
| 1619067 | Other | IL | BCBS GROUP NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036095587 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Andrea M. Bacon, M.D. LTD. | Psychiatry | Past | Accepting new patients |
| Tapestry 360 Health | Past | Accepting new patients | |
| Behavioral Health and Education Specialists Inc | Psychiatry | Past | Accepting new patients |
| Bhes Medical Group, LLC | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
4840 N Marine Dr
Chicago, IL 60640
Phone (773) 878-9700
6501 S Promontory Dr
Chicago, IL 60649
Phone (773) 256-5724
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Interoperability endpoints
- scott.feldman.1@11074.direct.athenahealth.com
- sfeldman221963@uchospital.direct-ci.com
- scott.feldman.1@27315.direct.athenahealth.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Psychiatry Physician
- Chicago, IL
- NPI 1922188986
-
- Clinical Psychologist
- Plainfield, IL
- NPI 1285812834
Psychiatry
-
- Clinical Psychologist
- Plainfield, IL
- NPI 1386059996
-
dba Heartland Health Centers
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1407981392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1407940166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 MAPLE AVE",
"address_2": "SUITE 105",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014371",
"telephone_number": "847-246-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 DAVIS ST",
"address_2": "SUITE # 450",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014431",
"telephone_number": "847-328-2404",
"fax_number": "847-328-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036095587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095587",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "1619067",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.