Edmond Yomtoob, Psy.D., S.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

072006350 Issued in IL

Legal business name

EDMOND YOMTOOB, PSY.D., S.C.

Practice address

30 N Michigan Ave Ste 1005
Chicago, IL 60602-3750

Phone

(773) 450-4434

NPI assigned

Sep 24, 2006

Organization subpart

No

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

Authorized official

Name

Edmond Jacob Yomtoob, PSY.D.NPI 1326210352

Title

President

Phone

(773) 450-4434

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

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

• Edmond Jacob Yomtoob, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1326210352
  NPD Authorized official

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1649370214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033342",
            "telephone_number": "773-450-4434",
            "fax_number": "866-212-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023750",
            "telephone_number": "773-450-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND YOMTOOB, PSY.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "YOMTOOB",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-450-4434",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "072006350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632882",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CORPHEALTH",
            "identifier": "101305461829",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPHEALTHHUMANA",
            "identifier": "205017571",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "533645",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9368304",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Taylor Edlund
• Natasha Ilyana Edman, MD, PHD
• Samiyyah Edmiston, RN
• Dalavia Edmon
• Sabrina Edmon, RBT
• Nataki Niambi Edmond, MS ED
• Chandi K. Edmonds, MPT, DPT
• Maxwell Ethan Edmonds
• Millie Ninette Edmonds
• Zoe Edmonds

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.