Individual provider Active NPI

Dylan Lanoff, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1649053463
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.022094 Issued in IL
Practice address
1732 W Hubbard St Ste 1D
Chicago, IL 60622-6271
Phone
(773) 270-3795
Fax
(773) 770-3464
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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 071.022094 IL Primary
Psychologist 103T00000X 071.022094 IL

Addresses

Primary practice location

1732 W Hubbard St Ste 1D
Chicago, IL 60622-6271

Mailing address

1732 W Hubbard St Ste 1D
Chicago, IL 60622-6271
Phone (773) 270-3795

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250807003049 IL Practitioner - Clinical Psychologist 1153829387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.022094ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Behavioral Health PLLC Psychologist CurrentSince Jul 29, 2025 Accepting new patients

Locations

1732 W Hubbard St
Ste 1D
Chicago, IL 60622
Phone (773) 270-2795

2548 W Division St
Chicago, IL 60622
Phone (773) 270-3795

1732 W Hubbard St
Unit 1D
Chicago, IL 60622

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1649053463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W HUBBARD ST STE 1D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226271",
            "telephone_number": "773-270-3795",
            "fax_number": "773-770-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W HUBBARD ST STE 1D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226271",
            "telephone_number": "773-270-3795",
            "fax_number": "773-770-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANOFF",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.022094",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.022094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.