Saloumeh Degood, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008615 Issued in IL

Practice address

2845 N Sheridan Rd
Ste 708
Chicago, IL 60657

Phone

(773) 906-3225

Fax

(773) 906-3270

NPI assigned

Jan 19, 2011

Last updated

Apr 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Saloumeh Bozorgzadeh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolve Psychological Services S.C.

  dba Evolve Wellness

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1003388810

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1417252644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "STE 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "STE 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-906-3225",
            "fax_number": "773-906-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOOD",
        "first_name": "SALOUMEH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180007717",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALOUMEH",
            "last_name": "BOZORGZADEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aria Rose Degillio
• Raymond Nicholas Degli, DPT
• Erin E Degnan, M.S., CF-SLP
• Shannon Irene Degnan, MSW
• Thorstein Degnes
• Kelly Degraaf, MS, MFT
• Becky Degraffenried, LSW
• Brittany Degreef, MS
• Heather Kattleman Degregorio, PT
• Danielle Degroot, MS, RD, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.