Gabrielle Wolk-Phillips, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009469 Issued in IL

Practice address

1740 N Maplewood Ave
Unit 211
Chicago, IL 60647-5258

Phone

(847) 612-9477

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gabrielle Wolk Professional name

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, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• New Moon Counseling PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1255078119
  Medicare reassignment NPD Authorized official
• Advanced Psychiatric Solutions Inc.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Oak Brook, IL
  • NPI 1548791452
  Medicare reassignment NPD
• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  Medicare reassignment NPD

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1669910923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 N MAPLEWOOD AVE",
            "address_2": "UNIT 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475258",
            "telephone_number": "847-612-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 N MAPLEWOOD AVE",
            "address_2": "UNIT 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475258",
            "telephone_number": "847-612-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLK-PHILLIPS",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "WOLK",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Wolfson
• Morgan F Wolin
• Preston Michael Wolin, MD
• Steven Wolinsky, MD
• Steven Wayne Wolinsky, AU.D
• Stephanie Kaufman Wolken, LCSW
• Lydia C Wolkiewicz, MD
• Holly Wollesen
• Katherine Wollner, M.D.
• Yael Wollstein, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, 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 16, 2017; 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.