Individual provider Active NPI

Caroline E Steelberg, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1932208923
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.004969 Issued in IL
Practice address
111 N Wabash Ave Ste 1422
Chicago, IL 60602-3068
Phone
(312) 444-1133
Fax
(312) 444-1723
NPI assigned
Sep 22, 2006
Last updated
Dec 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.004969 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 1422
Chicago, IL 60602-3068

Mailing address

111 N Wabash Ave Ste 1422
Chicago, IL 60602-3068
Phone (312) 444-1133

Other identifiers 1

IdentifierTypeStateIssuer
01605968OtherILBLUE CROSS BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 5, 2015 through Oct 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.004969ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1932208923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023068",
            "telephone_number": "312-444-1133",
            "fax_number": "312-444-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023068",
            "telephone_number": "312-444-1133",
            "fax_number": "312-444-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELBERG",
        "first_name": "CAROLINE",
        "middle_name": "E",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.004969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "01605968",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.