Individual provider Active NPI

Erika Lund, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1679680565
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005346 Issued in IL
Practice address
639 W Diversey Pkwy
Suite 214
Chicago, IL 60614-1501
Phone
(312) 943-3870
Fax
(312) 873-4077
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2008

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 071005346 IL Primary
Health Service Psychologist 103TH0100X 071005346 IL

Addresses

Primary practice location

639 W Diversey Pkwy
Suite 214
Chicago, IL 60614-1501

Mailing address

1901 N Cleveland Ave
Unit a
Chicago, IL 60614-8530
Phone (312) 943-3870

Other identifiers 2

IdentifierTypeStateIssuer
1638866OtherILBCBS IL
613219100OtherDOL OWCP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20151105002262 WI Practitioner - Clinical Psychologist 4082518352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integral Psychology CenterGroup PAC ID 7810092996, 5 clinicians

Practice addresses (Care Compare)

1619 Monroe St
Madison, WI 53711-2063
Phone (608) 255-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071005346ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Psychology Center CurrentSince Aug 15, 2015 Accepting new patients
Davken Associates, P.C. Clinical PastSince May 1, 2016 Accepting new patients
Health Benefits Physicians Services LLC Past Accepting new patients

Locations

1619 Monroe St
Madison, WI 53711
Phone (608) 255-9330

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211760000000",
    "number": "1679680565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N CLEVELAND AVE",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148530",
            "telephone_number": "312-943-3870",
            "fax_number": "312-873-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W DIVERSEY PKWY",
            "address_2": "SUITE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141501",
            "telephone_number": "312-943-3870",
            "fax_number": "312-873-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005346",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071005346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1638866",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "613219100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.