Nancy R. Soro, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-003799 Issued in IL

Practice address

1101 Lake St
Suite 310
Oak Park, IL 60301-1085

Phone

(708) 704-3250

Fax

(708) 524-8758

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Anxiety and Stress Center, P.C.

  • Cognitive & Behavioral Psychologist
  • Homewood, IL
  • NPI 1568513034

  Clinical, IL

  Medicare reassignment NPD
• Donna Marino, Psy.D., LTD

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1184991507

  Clinical

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1710051644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST",
            "address_2": "SUITE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011085",
            "telephone_number": "708-704-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST",
            "address_2": "SUITE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011085",
            "telephone_number": "708-704-3250",
            "fax_number": "708-524-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORO",
        "first_name": "NANCY",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003799",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-003799",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Solis, CNM
• Eric Jason Solnin, M.D.
• Ellen Somberg, PSY.D.
• Songbird Counseling PLLC
• Nicole M Sonnefeldt
• Julia Grace Sostrin, LCSW
• Mayra Soto-Gonzalez, LCSW
• Soulhealing-Psychotherapy, LLC
• Sound Care Hearing Corporation
• Leta Jo Southern

• All providers in Oak Park, IL
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.