DR. ANN CUSACK PSY.D.
NPI 1285772863
Psychologist - Clinical in Chicago, IL

NPI Status: Active since February 03, 2007

Contact Information

55 E WASHINGTON ST
2900
CHICAGO, IL
ZIP 60602
Phone: (312) 409-1915

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • PECOS Enrolled
  • Opted-Out Medicare

About ANN CUSACK

This page provides the complete NPI Profile along with additional information for Ann Cusack, a provider established in Chicago, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1285772863 assigned on February 2007. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1285772863
Provider Name
DR. ANN CUSACK PSY.D.
Gender
Female
Entity Type
Individual
Location Address
55 E WASHINGTON ST 2900 CHICAGO, IL 60602
Location Phone
(312) 409-1915
Mailing Address
1662 ORCHARD LN NORTHFIELD, IL 60093
Mailing Phone
(312) 409-1915
Is Sole Proprietor?
Yes
Enumeration Date
02-03-2007
Last Update Date
07-08-2007
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A clinical psychologist like Ann Cusack assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ann Cusack opted out of Medicare effective on 09-27-2016 until 09-27-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License State
IL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
543240MEDICARE ID-TYPE UNSPECIFIED (04)IL 

Medicare Participation & PECOS Enrollment Status

Ann Cusack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 09-27-2016

  • Opt-Out End Date: 09-27-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60602 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $183.39
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $45.84
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.7
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $26.42
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ANN CUSACK PSY.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285772863, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 4 + 7 + 4 + 8 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1285772863.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
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Obstetrics & Gynecology
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Social Worker (Clinical)
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Specialist
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Internal Medicine
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CHICAGO, IL 60602
Counselor (Professional)
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Social Worker (Clinical)
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Optometrist
55 E WASHINGTON ST, SUITE 647
CHICAGO, IL 60602
Social Worker (Clinical)
55 E WASHINGTON ST, SUITE 3100
CHICAGO, IL 60602
Social Worker (Clinical)
55 E WASHINGTON ST, SUITE 2901
CHICAGO, IL 60602
Psychologist (Clinical)
55 E WASHINGTON ST, SUITE 2801
CHICAGO, IL 60602
Social Worker (Clinical)
55 E WASHINGTON ST, SUITE 2700
CHICAGO, IL 60602
Social Worker (Clinical)
55 E WASHINGTON ST, SUITE 2801
CHICAGO, IL 60602
Social Worker (Clinical)
55 E WASHINGTON ST, 2700
CHICAGO, IL 60602
Dentist (General Practice)
55 E WASHINGTON ST
CHICAGO, IL 60602
Social Worker (Clinical)
55 E WASHINGTON ST, SUITE 1719
CHICAGO, IL 60602
Psychologist
55 E WASHINGTON ST, SUITE 3305
CHICAGO, IL 60602
Dentist (General Practice)
55 E WASHINGTON ST, SUITE 3003
CHICAGO, IL 60602
Psychologist (Clinical)
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CHICAGO, IL 60602
Psychologist (Clinical)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285772863, enumerated as an "individual" on February 03, 2007.

The provider is located at 55 E WASHINGTON ST 2900 CHICAGO, IL 60602 and the phone number is (312) 409-1915.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.