Individual provider Active NPI

Cody V Schraft, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1821463456
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009172 Issued in IL
Practice address
913 W Wellington Ave
2ND Floor
Chicago, IL 60657
Phone
(773) 296-3220
Fax
(872) 843-9000
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 071009172 IL Primary

Addresses

Primary practice location

913 W Wellington Ave
2ND Floor
Chicago, IL 60657

Mailing address

913 W Wellington Ave
2ND Floor
Chicago, IL 60657

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
I20230928003238 IL Practitioner - Clinical Psychologist 6002260783 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071009172ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate North Side Health Network CurrentSince Aug 16, 2023 Accepting new patients
Advocate North Side Health Network CurrentSince Aug 16, 2023 Accepting new patients
Family Service Center of Wilmette Glenview Northbrook Kenilworth PastSince Nov 15, 2011 Accepting new patients

Locations

913 W Wellington Ave
Fl 2
Chicago, IL 60657
Phone (872) 843-0014

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

22393 Network Pl
Chicago, IL 60673

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1821463456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W WELLINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "fax_number": "847-853-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W WELLINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-296-3220",
            "fax_number": "872-843-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAFT",
        "first_name": "CODY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.