Individual provider Active NPI

Pazit Burstin, PSY.D.

  • Clinical Psychologist
  • Skokie, IL
National Provider Identifier
1902862444
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007925 Issued in IL
Practice address
9032 Kenneth Ave
Skokie, IL 60076-1645
Phone
(847) 877-5602
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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 071.007925 IL Primary

Addresses

Primary practice location

9032 Kenneth Ave
Skokie, IL 60076-1645

Mailing address

9032 Kenneth Ave
Skokie, IL 60076-1645
Phone (847) 877-5602

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
I20110208000711 IL Practitioner - Clinical Psychologist 2264612241 Practice locations: Waukegan, IL; Skokie, IL; Lake Bluff, IL; Chicago, IL; Evanston, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.007925ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Solutions, P.C. Clinical PastSince Nov 15, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1902862444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9032 KENNETH AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761645",
            "telephone_number": "847-877-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9032 KENNETH AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761645",
            "telephone_number": "847-877-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTIN",
        "first_name": "PAZIT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.