Individual provider Active NPI

Vlada Bruk, LCSW, BCBA

  • Behavior Analyst
  • Northbrook, IL
National Provider Identifier
1689902355
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3504 Commercial Ave
Northbrook, IL 60062-1821
Phone
(847) 272-5111
NPI assigned
Nov 18, 2009
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3504 Commercial Ave
Northbrook, IL 60062-1821

Mailing address

1314 Witney LN
Buffalo Grove, IL 60089-6860
Phone (312) 804-1825

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230516002584 IL Practitioner - Clinical Social Worker 0244696383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Lining Care LLCGroup PAC ID 2668842287, 10 clinicians

Practice addresses (Care Compare)

3100 Dundee Rd
Suite 902
Northbrook, IL 60062-2441
Phone (847) 443-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Care LLC CurrentSince Apr 1, 2023 Accepting new patients
Silver Lining Integrated Health LLC PastSince Apr 1, 2024 Accepting new patients

Locations

1020 Milwaukee Ave
Ste 229
Deerfield, IL 60015
Phone (847) 767-0552

1020 Milwaukee Ave
Ste 235
Deerfield, IL 60015
Phone (847) 436-6967

3100 Dundee Rd
Ste 902
Northbrook, IL 60062
Phone (847) 443-1010

Organizations & group practices 2

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1689902355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 WITNEY LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896860",
            "telephone_number": "312-804-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 COMMERCIAL AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621821",
            "telephone_number": "847-272-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUK",
        "first_name": "VLADA",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.