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DR. JUDY KOENIGSBERG PH.D.
NPI 1174507008
Psychologist - Clinical in Evanston, IL

Active since December 05, 2005Opted out of Medicare · through Jun 15, 2027
708 CHURCH ST, EVANSTON, IL 60201(312) 409-4222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Judy Koenigsberg Ph.d. NPPES

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

DR. JUDY KOENIGSBERG PH.D. (NPI 1174507008) is an individual clinical provider in Evanston, Illinois and active in the NPI registry since December 2005. She has opted out of Medicare through June 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174507008
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JUDY KOENIGSBERGCredential: PH.D.
Location Address708 CHURCH STEvanston, IL 60201-3840
Mailing Address6907 N Kolmar AveLincolnwood, IL 60712-4703 · (847) 673-1421 · Fax (847) 679-9217
Phone(312) 409-4222
Sole ProprietorYes
Enumeration DateDecember 5, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174507008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
708 CHURCH ST, Evanston, IL 60201
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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

Dr. Judy Koenigsberg Ph.d. 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 June 15, 2015 through June 15, 2027.

Opt-Out Effective DateJune 15, 2015
Opt-Out In Effect ThroughJune 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUDITH MARIE ROBINSON L.C.P.C. R.N.C.S.
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
708 CHURCH ST, SUITE 221
EVANSTON, IL 60201
Cook County (847) 501-1013
ELLEN KENEMORE L.C.S.W.
Social Worker (Clinical)
708 CHURCH ST, SUITE 227
EVANSTON, IL 60201
Cook County (847) 491-0080
MS. SARA E P SOLHEIM LCSW
Social Worker (Clinical)
708 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 293-3507
A NEW LEAF NATURAL MEDICINE LLC
Dietitian, Registered
708 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 903-0503
MRS. JESSICA RACHEL WAXMAN LMFT
Marriage & Family Therapist
708 CHURCH ST, SUITE 221
EVANSTON, IL 60201
Cook County (312) 371-1448
FRANCES R. SCHNADIG, LCSW, LLC
Social Worker (Clinical)
708 CHURCH ST, SUITE 233
EVANSTON, IL 60201
Cook County (847) 942-6326
MS. LINDA GROSS MSW
Social Worker (Clinical)
708 CHURCH ST, SUITE 243
EVANSTON, IL 60201
Cook County (847) 224-1306
MUDDWORKS, INC.
Social Worker (Clinical)
708 CHURCH ST, SUITE 258
EVANSTON, IL 60201
Cook County (847) 332-2589

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 Judy Koenigsberg's NPI number?

The NPI number for Judy Koenigsberg is 1174507008. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Judy Koenigsberg located?

Judy Koenigsberg practices at 708 Church St, Evanston, IL 60201. The listed phone number is (312) 409-4222.

What is Judy Koenigsberg's specialty?

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

Is Judy Koenigsberg enrolled in Medicare?

No. Judy Koenigsberg has opted out of Medicare through June 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Judy Koenigsberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.