Tony Faseeh Salaam, LCSW

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

886941768 Issued in IL

Practice address

5747 S Michigan Ave Apt 1N
Chicago, IL 60637-1161

Phone

(312) 493-8990

NPI assigned

Aug 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1598597908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 S MICHIGAN AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371161",
            "telephone_number": "312-493-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 S MICHIGAN AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371161",
            "telephone_number": "312-493-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAAM",
        "first_name": "TONY",
        "middle_name": "FASEEH",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "886941768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atsushi Sakuraba, MD
• Sal Child Services Inc.
• Marc Andrew Sala, MD
• Salaam Community Wellness Center
• Salaam Consultant and Reentry Firm LLC
• Narasimha Ramprasad Saladi, M.D
• Nikita Saladi
• Assia Salah, MD
• Nour Salah
• Serina Salah, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.