Individual provider Active NPI

Erika Bokor, PH.D.

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1821154899
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-003862 Issued in IL
Practice address
1400 N Northwest Hwy Ste 305
Park Ridge, IL 60068-1310
Phone
(847) 297-7399
Fax
(847) 391-8815
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 071-003862 IL Primary

Addresses

Primary practice location

1400 N Northwest Hwy Ste 305
Park Ridge, IL 60068-1310

Mailing address

1400 N Northwest Hwy Ste 305
Park Ridge, IL 60068-1310
Phone (847) 297-7399

Other identifiers 1

IdentifierTypeStateIssuer
016-70996OtherILBCBS OF ILLINOIS ID

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
I20080703000223 IL Practitioner - Clinical Psychologist 6901978105 Practice locations: Park Ridge, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1440 Renaissance Dr
Suite 220
Park Ridge, IL 60068-1452
Phone (847) 297-7399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-003862ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1821154899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORTHWEST HWY STE 305",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681310",
            "telephone_number": "847-297-7399",
            "fax_number": "847-391-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORTHWEST HWY STE 305",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681310",
            "telephone_number": "847-297-7399",
            "fax_number": "847-391-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKOR",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS ID",
            "identifier": "016-70996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.