Active NPI
Caroline E Steelberg, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1932208923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.004969
- 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, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605968 | Other | IL | BLUE 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 071.004969 | IL | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.