Sandra Zakowski PHD Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SANDRA ZAKOWSKI PHD INC

Practice address

180 N Michigan Ave Ste 905
Chicago, IL 60601-7454

Phone

(773) 848-2768

Fax

(312) 453-0224

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Ira Dubin

Title

Accountant

Phone

(847) 647-0250

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Gabriele Zakowski, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1982958112
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1609339704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 N WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221326",
            "telephone_number": "773-848-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017454",
            "telephone_number": "773-848-2768",
            "fax_number": "312-453-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA ZAKOWSKI PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "847-647-0250"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER",
            "identifier": "1982958112",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodrigo Sandoval, MD
• Rosario M Sandoval
• Victor Sandoval
• Xochitl Sandoval, LCSW
• Emily Kate Sandowski, PA-C
• Ronald Sandridge
• Sandrik Dental LTD.
• John Sandrik, D.D.S.
• Mark Sandrik, D.D.S.
• Mary Susan Sandrik, MSN, RN, CWOCN

• 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 Apr 8, 2019; 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.