Active NPI
Barbara Carol Such, PSY.D.
- Clinical Psychologist
- Cicero, IL
National Provider Identifier
1518088533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.005418
- Practice address
- 5341 W Cermak Rd
Cicero, IL 60804-2817 - Phone
- (708) 656-6430
- Fax
- (708) 656-6591
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.005418 | IL | Primary |
Addresses
Primary practice location
5341 W Cermak Rd
Cicero, IL 60804-2817
Mailing address
10901 Windsor Dr
Westchester, IL 60154-4942
Phone (708) 492-1272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.005418 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518088533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 WINDSOR DR",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601544942",
"telephone_number": "708-492-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042817",
"telephone_number": "708-656-6430",
"fax_number": "708-656-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCH",
"first_name": "BARBARA",
"middle_name": "CAROL",
"name_prefix": "Miss",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.005418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.