Bianca M Schaefer, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071009780 Issued in IL

Practice address

900 Skokie Blvd Ste 115
Northbrook, IL 60062

Phone

(773) 451-5857

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Natalia Kaczmarek PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
  • NPI 1982193835
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1649764622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 115",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014",
            "telephone_number": "773-451-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 115",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "773-451-5857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 N Ashland Ave Apt 1R",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606225120",
            "country_code": "US",
            "telephone_number": "920-342-9889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 N Ashland Ave Apt 1R",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606225120",
            "country_code": "US",
            "telephone_number": "920-342-9889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Skokie Blvd",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "60062",
            "country_code": "US",
            "telephone_number": "773-451-5857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Skokie Blvd",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "60062",
            "country_code": "US",
            "telephone_number": "773-451-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "BIANCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009780",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071009780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Rae Sarra, MS, BCBA
• Akimi Sasaki, RBT-21-157418
• Jacob Sauce
• Samantha Anne Scalabrino, LCPC
• Monica Raye Schaberg, RBT
• Jennifer Leah Schafer, PSY.D.
• Susan A Schaffer, LCSW
• Emily Scharf, RBT
• David Schargorodsky, MD
• Melissa Scheer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.