Individual provider Active NPI

Robin Leigh Zoeller Pullman, PSY.D.

  • Clinical Psychologist
  • Saint Charles, IL
National Provider Identifier
1922497429
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006761 Issued in IL
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

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130002193 IL Practitioner - Clinical Psychologist 0446530851 Reassigns benefits to 2 organizations

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
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

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

LicenseStateTypeSpecialty
17867ILMDAddiction (Substance Use Disorder) Psychologist
071.006761ILMDClinical Psychologist
071006761ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecore Rehab and Counseling Services SC CurrentSince Nov 23, 2016 Accepting new patients
Edgewood Clinical Services, P.C. CurrentSince May 7, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.