Individual provider Active NPI

Ronald Sheldon Dachman, PH.D.

  • Psychologist
  • Schaumburg, IL
National Provider Identifier
1578724993
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071004081 Issued in IL
Practice address
999 N Plaza Dr
Suite 300
Schaumburg, IL 60173-6022
Phone
(847) 619-1880
Fax
(847) 619-1882
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071004081 IL Primary

Addresses

Primary practice location

999 N Plaza Dr
Suite 300
Schaumburg, IL 60173-6022

Mailing address

300 E Beech Dr
Schaumburg, IL 60193-2906
Phone (847) 619-1880

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071004081ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1578724993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BEECH DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932906",
            "telephone_number": "847-619-1880",
            "fax_number": "847-619-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR",
            "address_2": "SUITE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736022",
            "telephone_number": "847-619-1880",
            "fax_number": "847-619-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACHMAN",
        "first_name": "RONALD",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.