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PHYLLIS DAWSON, PSY.D., LLC
NPI 1063061984
Clinic/Center - Mental Health (Including Community Mental Health Center) in Northbrook, IL

Active since September 04, 2019
666 DUNDEE RD STE 1302, NORTHBROOK, IL 60062(224) 326-0025(847) 400-5828 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2019, Sep 4, 2019 (2 updates tracked since 2019).

About Phyllis Dawson, Psy.d., Llc NPPES

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

PHYLLIS DAWSON, PSY.D., LLC (NPI 1063061984) is a healthcare organization registered as a mental health (including community mental health center) in Northbrook, Illinois and active in the NPI registry since September 2019. The organization lists Phyllis Dawson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1063061984
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePHYLLIS DAWSON, PSY.D., LLC
Location Address666 DUNDEE RD STE 1302Northbrook, IL 60062-2736
Mailing Address666 Dundee Rd Ste 1302Northbrook, IL 60062-2736 · (224) 326-0025 · Fax (847) 400-5828
Phone(224) 326-0025
Fax(847) 400-5828
Organization SubpartNo
Authorized OfficialPhyllis DawsonClinical Psychologist · (224) 326-0025
Enumeration DateSeptember 4, 2019
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
✔ NPI 1063061984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
666 DUNDEE RD STE 1302, Northbrook, IL 60062
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Dawson, Psy.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phyllis Dawson, Psy.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phyllis Dawson, PSY.D.
Clinical Psychologist
NPI 1346258449
666 DUNDEE RD STE 1302
Northbrook, IL 60062
(224) 326-0025
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Phyllis Dawson, Psy.D., LLC's NPI number?

The NPI number for Phyllis Dawson, Psy.D., LLC is 1063061984. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Phyllis Dawson, Psy.D., LLC located?

Phyllis Dawson, Psy.D., LLC is located at 666 Dundee Rd Ste 1302, Northbrook, IL 60062. The listed phone number is (224) 326-0025.

What is Phyllis Dawson, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Phyllis Dawson, Psy.D., LLC enrolled in Medicare?

Yes. Phyllis Dawson, Psy.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phyllis Dawson, Psy.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Phyllis Dawson, Psy.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phyllis Dawson, Psy.D., LLC was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.