GABRIELLA FALLON WASERSTEIN MD
NPI 1104321926
Psychiatry & Neurology - Psychiatry in Chicago, IL
About Gabriella Fallon Waserstein Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLA FALLON WASERSTEIN MD (NPI 1104321926) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036.155377) and active in the NPI registry since March 2018. She has opted out of Medicare through July 19, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Gabriella Fallon Waserstein Md 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 July 19, 2022 through July 19, 2028.
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.
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Gabriella Waserstein's NPI number?
The NPI number for Gabriella Waserstein is 1104321926. It was assigned to this individual provider in the NPPES registry on March 25, 2018.
Where is Gabriella Waserstein located?
Gabriella Waserstein practices at 625 N Michigan Ave, Chicago, IL 60611. The listed phone number is (312) 640-7740.
What is Gabriella Waserstein's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Gabriella Waserstein enrolled in Medicare?
No. Gabriella Waserstein has opted out of Medicare through July 19, 2028. 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 Gabriella Waserstein was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gabriella Fallon Waserstein, MD · NPI 1104321926
Psychiatry physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 25, 2018.
## Identity
- **NPI:** 1104321926 (Entity type: Individual)
- **Enumerated:** March 25, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 036.155377 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 625 N MICHIGAN AVE, Chicago, IL 60611-3110
- **Phone:** (312) 640-7740
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104321926) · Data from the CMS NPPES public registry.