Rena Goodfriend-Leve, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Winnetka, IL
NPI 1528192556 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1528192556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 036087904 (IL)
- Practice address
- 545 Lincoln Ave Ste 4
Winnetka, IL 60093-2349 - Phone
- (847) 604-0564
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120207000574 | IL | Practitioner - Psychiatry | 6709043433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036087904 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
Interoperability endpoints
- rgoodfriendleve230778@direct.northshore.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036087904 | IL | Yes |
Addresses
Primary practice location
545 Lincoln Ave Ste 4
Winnetka, IL 60093-2349
Mailing address
2650 Ridge Ave
Dept of Psychiatry
Evanston, IL 60201-1718
Phone (847) 570-2050
Other practice location 1
2650 Ridge Ave
Dept of Psychiatry
Evanston, IL 60201-1718
Phone (847) 570-2050
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgoodfriendleve230778@direct.northshore.org | ||
| Direct Messaging Address | rgoodfriendleve230778@direct.northshore.org |
Other providers in Winnetka, IL
- George F. Warga DDS
- Paul Getzendanner
- Justin Gibson
- Paige Golden
- Jennifer Goldstein
- Rachel Goodman
- Ronna Gordon
- Janet Beth Goss
- Walter R Grobelny Jr.
- Grohmann Psychological Services, PLLC
All providers in Winnetka, IL · Child & Adolescent Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.