Individual provider Active NPI

Priyanka Rao, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1912790452
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071022092 Issued in IL
Practice address
2845 N Sheridan Rd
Suite 809
Chicago, IL 60657
Phone
(312) 761-4721
NPI assigned
May 27, 2025
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071.022092 IL
Psychologist 103T00000X 071.022092 IL
Clinical Psychologist 103TC0700X 071022092 IL Primary
Forensic Psychologist 103TF0200X 071.022092 IL

Addresses

Primary practice location

2845 N Sheridan Rd
Suite 809
Chicago, IL 60657

Mailing address

40 E Huron St Ste 304
Chicago, IL 60611-5244
Phone (312) 788-7621

Other practice location 1

40 E Huron St Ste 304
Chicago, IL 60611-5244
Phone (312) 788-7621

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
I20250911003816 IL Practitioner - Clinical Psychologist 4880197219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

4201 Lake Cook Rd
Suite 103
Northbrook, IL 60062-1060
Phone (630) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.022092ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Psychologist CurrentSince Jul 7, 2025 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720

2845 N Sheridan Rd
Ste 809
Chicago, IL 60657
Phone (312) 761-4721

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

4201 Lake Cook Rd
Ste 103
Northbrook, IL 60062
Phone (224) 467-2836

Organizations & group practices 2

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1912790452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E HURON ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115244",
            "telephone_number": "312-788-7621",
            "fax_number": "312-638-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "SUITE 809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "312-761-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 E Huron St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115244",
            "country_code": "US",
            "telephone_number": "312-788-7621",
            "fax_number": "312-638-0178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.022092",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.022092",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071022092",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "IL",
            "license": "071.022092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.