Individual provider Active NPI

Rashmi Pandey, PSY.D

  • Clinical Psychologist
  • Vernon Hills, IL
National Provider Identifier
1992980288
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007491 Issued in IL
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

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
178-001-380ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Davken Associates, P.C. Clinical CurrentSince Jun 1, 2018 Accepting new patients
Michael J. Gainer, PH.D., P.C. Clinical Past Accepting new patients
Wise Health Professional Corporation PastSince Feb 25, 2024 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.

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

Verify at the official NPI Registry.