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MARIA FAKHOURI PSYD
NPI 1063229417
Psychologist - Clinical in Chicago, IL

Active since December 18, 2024Opted out of Medicare · through Jan 6, 2027
333 N MICHIGAN AVE STE 2400, CHICAGO, IL 60601(773) 609-0361(312) 896-5595 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Fakhouri Psyd NPPES

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

MARIA FAKHOURI PSYD (NPI 1063229417) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071011351) and active in the NPI registry since December 2024. She has opted out of Medicare through January 6, 2027.

NPPES Registry Identity

NPI1063229417
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARIA FAKHOURICredential: PSYD
Location Address333 N MICHIGAN AVE STE 2400Chicago, IL 60601-4040
Mailing Address540 N State St Apt 2911Chicago, IL 60654-7237 · (312) 636-7486
Phone(773) 609-0361
Fax(312) 896-5595
Sole ProprietorNo
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1063229417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071011351
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
333 N MICHIGAN AVE STE 2400, Chicago, IL 60601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Maria Fakhouri Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2025 through January 6, 2027.

Opt-Out Effective DateJanuary 6, 2025
Opt-Out In Effect ThroughJanuary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

ESTHER JANE CARRUTHERS ESPELAND
Counselor (Professional)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361
MIKI KOYAMA PHD
Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361
DR. ROHIT AGRAWAL PSYD
Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361
DR. ELISSA LOUISE SARNO PHD
Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361
MEGAN NEBERZ LCPC
Counselor (Professional)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361
DR. MY NGUYEN PSYD
Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (312) 520-7157
KATHARINE MICHELLE TAESU LATTA LPC
Counselor
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361
RILEY LENTZ LSW
Social Worker
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Cook County (773) 609-0361

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 Maria Fakhouri's NPI number?

The NPI number for Maria Fakhouri is 1063229417. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Maria Fakhouri located?

Maria Fakhouri practices at 333 N Michigan Ave Ste 2400, Chicago, IL 60601. The listed phone number is (773) 609-0361.

What is Maria Fakhouri's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Maria Fakhouri enrolled in Medicare?

No. Maria Fakhouri has opted out of Medicare through January 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Maria Fakhouri was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.