Active NPI
Rashmi Pandey, PSY.D
- Clinical Psychologist
- Vernon Hills, IL
National Provider Identifier
1992980288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007491
- Practice address
- 977 Lakeview Parkway
Suite 180
Vernon Hills, IL 60061-5176 - Phone
- (847) 549-6750
- NPI assigned
- Jan 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178-001-380 | IL | |
| Clinical Psychologist | 103TC0700X | 071007491 | IL | Primary |
Addresses
Primary practice location
977 Lakeview Parkway
Suite 180
Vernon Hills, IL 60061-5176
Mailing address
977 Lakeview Parkway
Suite 180
Vernon Hills, IL 60061-5176
Phone (847) 549-6750
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090313000016 | IL | Practitioner - Clinical Psychologist | 2466518618 |
Reassigns benefits to 1 organization Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
401 N Michigan Ave
Suite 1206
Chicago, IL 60611-4255
Phone (312) 646-5324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178-001-380 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davken Associates, P.C. | Clinical | Current | Accepting new patients |
| Michael J. Gainer, PH.D., P.C. | Clinical | Past | Accepting new patients |
| Wise Health Professional Corporation | Past | Accepting new patients |
Locations
1100 S Lewis Ave
Waukegan, IL 60085
Phone (847) 244-8196
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1891969903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1992980288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 LAKEVIEW PARKWAY",
"address_2": "SUITE 180",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600615176",
"telephone_number": "847-549-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 LAKEVIEW PARKWAY",
"address_2": "SUITE 180",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600615176",
"telephone_number": "847-549-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDEY",
"first_name": "RASHMI",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-04",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178-001-380",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.