Individual provider Active NPI

Romita Sillitti, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1639567274
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007564 Issued in IL
Practice address
5100 N Marine Dr
Unit 15 L
Chicago, IL 60640-3274
Phone
(312) 330-3597
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071007564 IL Primary
Clinical Psychologist 103TC0700X 271000120 IL

Addresses

Primary practice location

5100 N Marine Dr
Unit 15 L
Chicago, IL 60640-3274

Mailing address

5100 N Marine Dr
Unit 15 L
Chicago, IL 60640-3274
Phone (312) 330-3597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071007564ILMDClinical Psychologist
271000120ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1639567274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N MARINE DR",
            "address_2": "UNIT 15 L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403274",
            "telephone_number": "312-330-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N MARINE DR",
            "address_2": "UNIT 15 L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403274",
            "telephone_number": "312-330-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLITTI",
        "first_name": "ROMITA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007564",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "271000120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.