Active NPI
Judith Sue Warschausky, PH.D.
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1760554745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 1618 Orrington Ave
Suite 328
Evanston, IL 60201-5016 - Phone
- (312) 541-0099
- Fax
- (847) 866-8519
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
1618 Orrington Ave
Suite 328
Evanston, IL 60201-5016
Mailing address
1618 Orrington Ave
Suite 328
Evanston, IL 60201-5016
Phone (312) 541-0099
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V7E16 | Other | NY | EMPIRE BCBS |
| 016-73358 | Other | IL | BLUE CROSS BLUE SHIELD |
| 278 908 | Other | NY | VALUE OPTIONS |
| 60054 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-003866 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760554745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 ORRINGTON AVE",
"address_2": "SUITE 328",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015016",
"telephone_number": "312-541-0099",
"fax_number": "847-866-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 ORRINGTON AVE",
"address_2": "SUITE 328",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015016",
"telephone_number": "312-541-0099",
"fax_number": "847-866-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARSCHAUSKY",
"first_name": "JUDITH",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "V7E16",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "016-73358",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "278 908",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.