RAJKUMAR PERIASAMY
NPI 1013472752
Psychologist in Northbrook, IL

Active since February 06, 2019PECOS Enrolled
666 DUNDEE RD STE 708, NORTHBROOK, IL 60062(312) 900-8642 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 4, 2022, Feb 6, 2019 (2 updates tracked since 2019).

About Rajkumar Periasamy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJKUMAR PERIASAMY (NPI 1013472752) is an individual psychologist in Northbrook, Illinois, licensed in Illinois (071010695) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013472752
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRAJKUMAR PERIASAMY
Location Address666 DUNDEE RD STE 708Northbrook, IL 60062-2734
Mailing Address666 Dundee Rd Ste 708Northbrook, IL 60062-2734 · (312) 900-8642
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 6, 2019
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1013472752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in IL · 071010695
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
666 DUNDEE RD STE 708, Northbrook, IL 60062

Secondary Practice Locations 2

Location 1517 Deltona Blvd Ste ADeltona, FL 32725-8016 · Phone (614) 736-1415
Location 21011 W Wellington Ave Ste 210Chicago, IL 60657-7187 · Phone (312) 900-8612

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajkumar Periasamy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547645889
PECOS Enrollment IDI20220922000873
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
666 DUNDEE RD STE 708
NORTHBROOK, IL 60062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajkumar Periasamy's NPI number?

The NPI number for Rajkumar Periasamy is 1013472752. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Rajkumar Periasamy located?

Rajkumar Periasamy practices at 666 Dundee Rd Ste 708, Northbrook, IL 60062. The listed phone number is (312) 900-8642.

What is Rajkumar Periasamy's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Rajkumar Periasamy enrolled in Medicare?

Yes. Rajkumar Periasamy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rajkumar Periasamy was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.