Individual provider Active NPI

Neli Cohen, PSYD

  • Clinical Psychologist
  • Lincolnwood, IL
National Provider Identifier
1588199038
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009539 Issued in IL
Practice address
7300 N Cicero Ave
Ste 208
Lincolnwood, IL 60712-1695
Phone
(413) 200-8880
Fax
(413) 570-4957
NPI assigned
Apr 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009539 IL Primary

Addresses

Primary practice location

7300 N Cicero Ave
Ste 208
Lincolnwood, IL 60712-1695

Mailing address

4146 Gage Ave
Lyons, IL 60534-1425
Phone (713) 824-6311

Other practice location 1

307 N Michigan Ave
Chicago, IL 60601-5311
Phone (713) 824-6311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA2 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
I20170614002475 IL Practitioner - Clinical Psychologist 6002184157 Reassigns benefits to 1 organization
Practice locations: Lincolnwood, IL
I20170623002184 MA Practitioner - Clinical Psychologist 6002184157 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Transam Plaza Dr
Oakbrook Ter, IL 60181-4828
Phone (312) 809-8099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009539ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
HNHC, PLLC Clinical CurrentSince Dec 31, 2022 Accepting new patients

Locations

1438 Techny Rd
Northbrook, IL 60062

1 Transam Plaza Dr
Ste 350
Oakbrook Terrace, IL 60181
Phone (312) 809-8099

Organizations & group practices 2

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588199038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 GAGE AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341425",
            "telephone_number": "713-824-6311",
            "fax_number": "413-570-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N CICERO AVE",
            "address_2": "STE 208",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121695",
            "telephone_number": "413-200-8880",
            "fax_number": "413-570-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015311",
            "country_code": "US",
            "telephone_number": "713-824-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "NELI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.