Individual provider Active NPI

Wendy June Sabbath, PH.D.

  • Clinical Psychologist
  • Deerfield, IL
National Provider Identifier
1699832212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
400 Lake Cook Rd
Suite 106
Deerfield, IL 60015-5607
Phone
(847) 913-9897
Fax
(847) 405-0887
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

400 Lake Cook Rd
Suite 106
Deerfield, IL 60015-5607

Mailing address

400 Lake Cook Rd
Suite 106
Deerfield, IL 60015-5607
Phone (847) 913-9897

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
I20091105000562 IL Practitioner - Clinical Psychologist 3678611944 Practice locations: Deerfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

707 Lake Cook Rd
Suite 360
Deerfield, IL 60015-5607

707 Lake Cook Rd
Suite 360
Deerfield, IL 60015-5613
Phone (847) 913-9897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699832212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD",
            "address_2": "SUITE 106",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155607",
            "telephone_number": "847-913-9897",
            "fax_number": "847-405-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD",
            "address_2": "SUITE 106",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155607",
            "telephone_number": "847-913-9897",
            "fax_number": "847-405-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBATH",
        "first_name": "WENDY",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.