Individual provider Active NPI

Allayna Pinkston, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1760931695
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009381 Issued in IL
Practice address
5153 N Clark St Ste 306
Chicago, IL 60640-6850
Phone
(312) 690-3140
NPI assigned
Oct 4, 2016
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 071009381 IL Primary

Addresses

Primary practice location

5153 N Clark St Ste 306
Chicago, IL 60640-6850

Mailing address

5153 N Clark St Ste 306
Chicago, IL 60640-6850
Phone (312) 690-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 1, 2016 through Dec 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071009381ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Healing PLLC Clinical Current Accepting new patients

Locations

5153 N Clark St
Ste 306
Chicago, IL 60640
Phone (312) 690-3140

Organizations & group practices 1

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1760931695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 N CLARK ST STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406850",
            "telephone_number": "312-690-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N CLARK ST STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406850",
            "telephone_number": "312-690-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "ALLAYNA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.