Individual provider Active NPI

Amber Lee, PHD

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1922786797
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071010994 Issued in IL
Practice address
30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611
Phone
(855) 264-9355
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071010994 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611

Mailing address

3760 N Fremont St Apt 1
Chicago, IL 60613-0346

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
I20240105001635 IL Practitioner - Clinical Psychologist 8729439526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherrie D All, PHD, PCGroup PAC ID 7618121922, 10 clinicians

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1621
Chicago, IL 60602-3669
Phone 85526493550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071010994ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrie D All, PHD, PC Clinical Neuropsychologist CurrentSince Dec 22, 2023 Accepting new patients

Locations

30 N Michigan Ave
Ste 1621
Chicago, IL 60602
Phone (773) 508-4788

30 N Michigan Ave
Ste 2029
Chicago, IL 60602
Phone (773) 345-3495

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1922786797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 N FREMONT ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606130346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 2029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023611",
            "telephone_number": "855-264-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMBER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071010994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.