Adriane Lynne Szackamer, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1755 Southland Ave
Highland Park, IL 60035-2855

Phone

(847) 579-4824

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922186451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 SOUTHLAND AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352855",
            "telephone_number": "847-579-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 SOUTHLAND AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352855",
            "telephone_number": "847-579-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZACKAMER",
        "first_name": "ADRIANE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Suh
• Lisa Marie Sullivan, M.D.
• John Sultan
• Sunrise Highland Park Senior Living, LLC
• Terri L. Sweig, PH.D., ATR-BC, LCPC
• Dustin Szenderski, PT
• Elizabeth K Taborsky, DPT
• Ari Taitz, M.D.
• Cindy Fran Taitz
• Tani Strain LMFT Limited

• Clinical Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.