Individual provider Active NPI

Emerson M. Epstein, PHD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1720598956
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.011413 Issued in IL
Practice address
611 W Briar PL Ste 6
Chicago, IL 60657-4560
Phone
(773) 234-1721
NPI assigned
Oct 2, 2017
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 071.011413 IL Primary

Addresses

Primary practice location

611 W Briar PL Ste 6
Chicago, IL 60657-4560

Mailing address

611 W Briar PL Ste 6
Chicago, IL 60657-4560
Phone (773) 234-1721

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
I20260520001770 IL Practitioner - Clinical Psychologist 5496224354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

611 W Briar PL
Suite 6
Chicago, IL 60657-4560

PO Box
Suite 342
Silver Springs, NV 89429-0342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071.011413ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Behavioral Health, PLLC CurrentSince Dec 14, 2025 Accepting new patients
Health Psychology Associates LLC PastSince Sep 4, 2018 Accepting new patients
G D Shoenberger, Inc. Clinical PastSince Oct 8, 2012 Accepting new patients

Locations

611 W Briar Pl
Ste 6
Chicago, IL 60657
Phone (312) 375-5621

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, 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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1720598956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W BRIAR PL STE 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574560",
            "telephone_number": "773-234-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W BRIAR PL STE 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574560",
            "telephone_number": "773-234-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "EMERSON",
        "middle_name": "M.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.