NORTH SHORE PSYCHOLOGY SPECIALISTS, PC
NPI 1396046900
Psychologist - Clinical in Gurnee, IL

Q: What is North Shore Psychology Specialists, PC's specialty?

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

Active since November 12, 2010

850 BLACKBERRY CT, GURNEE, IL 60031(847) 355-5041 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About North Shore Psychology Specialists, Pc NPPES

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

NORTH SHORE PSYCHOLOGY SPECIALISTS, PC (NPI 1396046900) is a healthcare organization registered as a clinical in Gurnee, Illinois and active in the NPI registry since November 2010. The organization lists Anne Hachmeister-levin, Provider, as its authorized official.

NPPES Registry Identity

NPI1396046900

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNORTH SHORE PSYCHOLOGY SPECIALISTS, PC

Location Address850 BLACKBERRY CTGurnee, IL 60031-5112

Mailing Address850 Blackberry CtGurnee, IL 60031-5112 · (847) 355-5041 · Fax (630) 924-0462

Phone(847) 355-5041

Organization SubpartNo

Authorized OfficialAnne Hachmeister-levinProvider · (847) 355-5041

Enumeration DateNovember 12, 2010

Last NPPES UpdateMay 4, 2022

NPPES CertifiedMay 4, 2022

✔ NPI 1396046900 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 · 071-004337

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.

850 BLACKBERRY CT, Gurnee, IL 60031

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Psychology Specialists, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Shore Psychology Specialists, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anne Hachmeister Levin, PSYD

Clinical Psychologist

NPI 1922153725

1800 MONTGOMERY CT
Deerfield, IL 60015

(847) 355-5041

✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Shore Psychology Specialists, PC's NPI number?

The NPI number for North Shore Psychology Specialists, PC is 1396046900. It was assigned to this organization in the NPPES registry on November 12, 2010.

Where is North Shore Psychology Specialists, PC located?

North Shore Psychology Specialists, PC is located at 850 Blackberry Ct, Gurnee, IL 60031. The listed phone number is (847) 355-5041.

What is North Shore Psychology Specialists, PC's specialty?

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

Is North Shore Psychology Specialists, PC enrolled in Medicare?

Yes. North Shore Psychology Specialists, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Psychology Specialists, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to North Shore Psychology Specialists, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Shore Psychology Specialists, PC was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.