Active NPI
Robin Leigh Zoeller Pullman, PSY.D.
- Clinical Psychologist
- Saint Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006761
- Practice address
- 2570 Foxfield Rd Ste 107
Saint Charles, IL 60174-1406 - Phone
- (847) 868-3435
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071006761 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 071.006761 | IL | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 17867 | IL |
Addresses
Primary practice location
2570 Foxfield Rd Ste 107
Saint Charles, IL 60174-1406
Mailing address
360 West Butterfield Road Suite 340
Elmhurst, IL 60177
Phone (630) 615-7807
Other practice location 1
360 West Butterfield Road Suite 340
Elmhurst, IL 60177
Phone (630) 615-7807
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28 N 1St St
Suite 201
Geneva, IL 60134-2285
Phone (888) 428-7890
2948 Artesian Rd
Suite 112
Naperville, IL 60564-8559
Phone (888) 428-7890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17867 | IL | MD | Addiction (Substance Use Disorder) Psychologist |
| 071.006761 | IL | MD | Clinical Psychologist |
| 071006761 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecore Rehab and Counseling Services SC | Current | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| PHC of Buffalo Grove Nutrition | Past | Accepting new patients | |
| Psychology Specialists LTD | Clinical | Past | Accepting new patients |
Locations
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
1457 N Halsted St
Unit B303
Chicago, IL 60642
Phone (312) 761-4725
28 N 1st St
Ste 201
Geneva, IL 60134
Phone (561) 386-9465
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
11536 183rd Pl
Orland Park, IL 60467
Phone (708) 960-4023
2570 Foxfield Rd
Ste 107
St Charles, IL 60174
Phone (630) 853-3890
8051 186th St
Ste A
Tinley Park, IL 60487
Phone (708) 342-7076
Interoperability endpoints
- lifestancehealth.robinzoellerpullman@146897.advancedmd-direct.com
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.
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Mental Health Counselor
- Orland Park, IL
- NPI 1679819734
-
- Registered Dietitian
- Vernon Hills, IL
- NPI 1902107386
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1922497429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 WEST BUTTERFIELD ROAD SUITE 340",
"city": "ELMHURST",
"state": "IL",
"postal_code": "60177",
"telephone_number": "630-615-7807",
"fax_number": "630-615-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 FOXFIELD RD STE 107",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601741406",
"telephone_number": "847-868-3435"
}
],
"practiceLocations": [
{
"address_1": "360 West Butterfield Road Suite 340",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "60177",
"country_code": "US",
"telephone_number": "630-615-7807",
"fax_number": "630-615-7801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOELLER PULLMAN",
"first_name": "ROBIN",
"middle_name": "LEIGH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006761",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.006761",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "17867",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.