Erin Kristina Basalay, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008280 Issued in IL

Practice address

5730 W Roosevelt Rd
Chicago, IL 60644-1580

Phone

(773) 921-1700

NPI assigned

Feb 17, 2012

Last updated

Feb 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Erin Powers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1588937767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 S 5TH PL",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744324",
            "telephone_number": "847-529-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441580",
            "telephone_number": "773-921-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALAY",
        "first_name": "ERIN",
        "middle_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "POWERS",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corbin Barwegen, M.D.
• Kearston Barwegen
• Piotr Barysenka, D.D.S.
• Amy M Barzgari
• Anais Barzowski, RD
• Eric Basappa
• Sabrina Rose-Mary Basaria, LPC
• Basarida Wellness, LLC
• Aidarina Basarudin-Pigott, LCSW
• Joanna Kalaw Basaya, D.D.S.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.