Organization Active NPI

Karin M. Nussbaum, PH.D., PLLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1720778608
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KARIN M. NUSSBAUM, PH.D., PLLC
Practice address
180 N Michigan Ave Ste 1820
Chicago, IL 60601-7415
Phone
(773) 559-2245
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Dr. Karin NussbaumNPI 1417165242
Title
Clinical Psychologist
Phone
(773) 559-2245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

180 N Michigan Ave Ste 1820
Chicago, IL 60601-7415

Mailing address

2433 Center Ave
Northbrook, IL 60062-4452
Phone (773) 263-0938

National Provider Directory

National Provider Directory

Locations

180 N Michigan Ave
Ste 1820
Chicago, IL 60601
Phone (312) 263-0440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1720778608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 CENTER AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624452",
            "telephone_number": "773-263-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017415",
            "telephone_number": "773-559-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIN M. NUSSBAUM, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-559-2245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.