SUSAN KLOCK PHD
NPI 1396752903
Psychologist - Clinical in Chicago, IL
About Susan Klock Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN KLOCK PHD (NPI 1396752903) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071-004914) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Klock Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Klock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Susan Klock's NPI number?
The NPI number for Susan Klock is 1396752903. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Susan Klock located?
Susan Klock practices at 680 N Lake Shore Dr Suite 1000, Chicago, IL 60611. The listed phone number is (312) 695-9797.
What is Susan Klock's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Susan Klock enrolled in Medicare?
Yes. Susan Klock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Klock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Klock reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The 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 Susan Klock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Klock accept?
Health plans from Oscar Health list Susan Klock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Susan Klock was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Susan Klock, PHD · NPI 1396752903
Clinical provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1396752903 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071-004914 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 N LAKE SHORE DR, SUITE 1000, Chicago, IL 60611-4546
- **Phone:** (312) 695-9797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2017
- **Other identifiers:** Medicare UPIN R77273
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Source: [NPI Profile](https://npiprofile.com/npi/1396752903) · Data from the CMS NPPES public registry.