Active NPI
Stephanie L Livingston, PH.D.
- Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 333 N Michigan Ave
Ste. 1801
Chicago, IL 60601-3901 - Phone
- (773) 509-5117
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20041831A | IN | |
| Psychologist | 103T00000X | IL | Primary |
Addresses
Primary practice location
333 N Michigan Ave
Ste. 1801
Chicago, IL 60601-3901
Mailing address
4554 S Oakenwald Ave
Chicago, IL 60653-4514
Phone (773) 509-5117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
613 Franklin St
Michigan City, IN 46360-3411
Phone (877) 548-7792
8633 W 400
Michigan City, IN 46360-9559
8633 W 400
Michigan City, IN 46360-9854
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004339 | IL | MD | Psychologist |
| 20041831A | IN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biopsychtech of Chicago, LTD | Psychologist | Current | Accepting new patients |
Locations
333 N Michigan Ave
Ste 1801
Chicago, IL 60601
Phone (312) 345-0933
333 N Michigan Ave
Ste 1828
Chicago, IL 60601
Phone (312) 332-9947
613 Franklin St
Fl 2
Michigan City, IN 46360
613 Franklin St
Michigan City, IN 46360
Phone (312) 907-3644
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679619332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4554 S OAKENWALD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606534514",
"telephone_number": "773-509-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE",
"address_2": "STE. 1801",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013901",
"telephone_number": "773-509-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20041831A",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": true
}
],
"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 Jul 8, 2007; 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.