Individual provider Active NPI

Dawn Erica Epstein, PHD

  • Clinical Psychologist
  • Skokie, IL
National Provider Identifier
1841707908
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009718 Issued in IL
Practice address
9669 Kenton Ave Ste 204
Skokie, IL 60076-1227
Phone
(847) 425-6400
Fax
(847) 425-6408
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X
Clinical Psychologist 103TC0700X 071009718 IL Primary

Addresses

Primary practice location

9669 Kenton Ave Ste 204
Skokie, IL 60076-1227

Mailing address

9669 Kenton Ave Ste 204
Skokie, IL 60076-1227
Phone (847) 425-6400

Other practice location 1

259 E Erie St Ste 1600
Chicago, IL 60611-3111
Phone (312) 695-5620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address depstein267429@direct.northshore.org

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227001689 IL Practitioner - Psychiatry 8820359201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

259 E Erie St
Suite 1600
Chicago, IL 60611-3111
Phone (312) 926-5620

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071009718ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 15, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 15, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2022 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

9532 Eagle Way
Chicago, IL 60678

259 E Erie St
Ste 1600
Chicago, IL 60611

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

9669 Kenton Ave
Ste 204
Skokie, IL 60076
Phone (847) 982-1095

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1841707908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761227",
            "telephone_number": "847-425-6400",
            "fax_number": "847-425-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761227",
            "telephone_number": "847-425-6400",
            "fax_number": "847-425-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 E Erie St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113111",
            "country_code": "US",
            "telephone_number": "312-695-5620",
            "fax_number": "312-926-8175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "DAWN",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "depstein267429@direct.northshore.org",
            "affiliation": "N",
            "address_1": "9669 Kenton Ave Ste 204",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.