Individual provider Active NPI

Sarah Elizabeth Rees Riley, PSYD

  • Clinical Psychologist
  • Skokie, IL
National Provider Identifier
1457623167
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042910A Issued in IN
Practice address
4700 W Golf Road
Suite 400
Skokie, IL 60076-1242
Phone
(847) 679-3040
Fax
(773) 751-2250
NPI assigned
Jan 27, 2012
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 20042910A IN Primary

Addresses

Primary practice location

4700 W Golf Road
Suite 400
Skokie, IL 60076-1242

Mailing address

4700 W Golf Road
Suite 400
Skokie, IL 60076-1242
Phone (847) 679-3040

Other names 1

  • Sarah E Rees Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160309002170 IN Practitioner - Clinical Psychologist 8921304437 Reassigns benefits to 1 organization
I20161110001730 IL Practitioner - Clinical Psychologist 8921304437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4711 Golf Rd
Suite 400
Skokie, IL 60076-1242
Phone (312) 783-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042910AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Psychological Services Clinical CurrentSince Jun 1, 2019 Accepting new patients
North Shore Psych Solutions Inc Psychologist CurrentSince Oct 28, 2022 Accepting new patients
Southlake Community Mental Health Center Inc. CurrentSince Jan 31, 2016 Accepting new patients

Locations

5831 N Northwest Hwy
Chicago, IL 60631
Phone (773) 775-8080

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

7447 W Talcott Ave
Chicago, IL 60631
Phone (773) 631-6082

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

4711 Golf Rd
Ste 400
Skokie, IL 60076
Phone (847) 679-3040

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

3903 Indianapolis Blvd
East Chicago, IN 46312
Phone (219) 392-6001

8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1457623167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W GOLF ROAD",
            "address_2": "SUITE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "847-679-3040",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W GOLF ROAD",
            "address_2": "SUITE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761242",
            "telephone_number": "847-679-3040",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES RILEY",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042910A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "REES",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.