ADRIENNE M BALSAM MD
NPI 1285684365
Psychiatry & Neurology - Psychiatry in Skokie, IL

Q: What is Adrienne Balsam's NPI number?

The NPI number for Adrienne Balsam is 1285684365. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Adrienne Balsam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Adrienne Balsam was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 11, 2006PECOS Enrolled

4711 GOLF RD STE 1200, SKOKIE, IL 60076(847) 933-0455(847) 679-8002 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jun 14, 2017 (2 updates tracked since 2017).

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About Adrienne M Balsam Md NPPES

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

ADRIENNE M BALSAM MD (NPI 1285684365) is an individual psychiatry provider in Skokie, Illinois, licensed in Illinois (036087777) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1285684365

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameADRIENNE M BALSAMCredential: MD

Location Address4711 GOLF RD STE 1200Skokie, IL 60076-1200

Mailing Address4711 Golf Road, Suite 1200Skokie, IL 60076 · (847) 933-0455 · Fax (847) 679-8002

Phone(847) 933-0455

Fax(847) 679-8002

Sole ProprietorYes

Enumeration DateMay 11, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1285684365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 036087777

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4711 GOLF RD STE 1200, Skokie, IL 60076

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Secondary Practice Location 1

Location 11 E Delaware Pl Ste 310Chicago, IL 60611-4962 · Phone (847) 933-0455 · Fax (847) 679-8002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adrienne M Balsam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 9

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

MR. TIMOTHY DAVID MORRILL ARNP, CAP

Nurse Practitioner (Adult Health)