Individual provider Active NPI

Erica Hymen

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1962951467
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.010871 Issued in IL
Practice address
3231 N Clifton Ave
Chicago, IL 60657-9543
Phone
(847) 507-8866
NPI assigned
Sep 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.009464 IL
Clinical Neuropsychologist 103G00000X 6301019157 MI
Clinical Neuropsychologist 103G00000X 071.010871 IL Primary

Addresses

Primary practice location

3231 N Clifton Ave
Chicago, IL 60657-9543

Mailing address

3231 N Clifton Ave
Chicago, IL 60657-9543

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
I20231005000865 IL Practitioner - Clinical Psychologist 6901251362 Reassigns benefits to 2 organizations

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
Sage Neuropsychology ConsultantsGroup PAC ID 7517010739, 2 clinicians

Practice addresses (Care Compare)

911 N Elm St
Suite 321
Hinsdale, IL 60521-2631
Phone (708) 434-1264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.009464ILMDProfessional Counselor
071.010871ILMDClinical Neuropsychologist
6301019157MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Tucci PHD LLC Clinical Neuropsychologist CurrentSince Oct 1, 2023 Accepting new patients
Sage Neuropsychology Consultants CurrentSince Jan 11, 2024 Accepting new patients

Locations

911 N Elm St
Ste 321
Hinsdale, IL 60521
Phone (708) 434-1264

2021 Midwest Rd
Ste 104
Oak Brook, IL 60523
Phone (630) 280-8173

Organizations & group practices 2

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": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1962951467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 N CLIFTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 N CLIFTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579543",
            "telephone_number": "847-507-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMEN",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-25",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.009464",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301019157",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.010871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.