Garth W Amundson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005077 Issued in IL

Practice address

1010 Lake St Ste 110
Oak Park, IL 60301-1106

Phone

(708) 416-6475

Fax

(855) 625-7406

NPI assigned

Dec 26, 2006

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgewood Clinical Services, P.C.

  dba LifeStance

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment Care Compare group NPD
• 360 Degrees Wellness & Coaching LLC

  • Clinical Social Worker
  • Lake Forest, IL
  • NPI 1497176523
  Medicare reassignment NPD
• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment NPD
• Insight Therapy Solutions LLC

  dba Insight Therapy Solutions

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1639414279

  Clinical, IL

  Medicare reassignment NPD
• Lifestance Health Group Inc.

  • Psychoanalysis Psychologist
  • Oak Park, IL
  • NPI 1144025149
  NPD
• Psychology Specialists LTD

  dba LifeStance Health

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1629133996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 110",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011106",
            "telephone_number": "708-416-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 110",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011106",
            "telephone_number": "708-416-6475",
            "fax_number": "855-625-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 North Christiana Avenue",
            "address_2": "Harbor Light - # 353",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60651",
            "country_code": "US",
            "telephone_number": "320-321-2842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "GARTH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6307",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Drug Stores LLC (Osco Drug #0288)
• Shafa Amirsoltani, DDS
• Jessie Magdalen Amstadt, RN, AA-SANE
• Amundson & Schwaratz Psychological Consulting
• Amundson & Schwartz Psychological Consulting Inc.
• Amy Schigelone PHD LCSW LLC
• Anarkali Internists SC
• Christine Ann Anderson, APN
• Laurie Anderson, PH.D.
• Laura Hollingsworth Anderson, LLC, LCSW

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, 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 20, 2025; 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.