Individual provider Active NPI

Steven Bernfeld, PHD

  • Psychologist
  • Evanston, IL
National Provider Identifier
1538577275
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071008848 Issued in IL
Practice address
2550 Crawford Ave
Evanston, IL 60201-4900
Phone
(847) 920-4556
NPI assigned
Jul 25, 2014
Last updated
Dec 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071008848 IL Primary

Addresses

Primary practice location

2550 Crawford Ave
Evanston, IL 60201-4900

Mailing address

9740 Kedvale Ave
Skokie, IL 60076-1122
Phone (847) 920-4556

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925001033 IL Practitioner - Clinical Psychologist 7315167335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3330 Old Glenview Rd
Suite 1
Wilmette, IL 60091-2963
Phone (847) 920-4556

9740 Kedvale Ave
Skokie, IL 60076-1122
Phone (847) 920-4556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008848ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Oak Counseling LLC CurrentSince May 28, 2018 Accepting new patients

Locations

2550 Crawford Ave
Evanston, IL 60201
Phone (773) 850-0270

3330 Old Glenview Rd
Ste 1
Wilmette, IL 60091
Phone (847) 251-7774

Organizations & group practices 1

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1538577275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 KEDVALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761122",
            "telephone_number": "847-920-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CRAWFORD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014900",
            "telephone_number": "847-920-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNFELD",
        "first_name": "STEVEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.