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DR. KARIN MICHELLE NUSSBAUM PH.D.
NPI 1417165242
Psychologist - Clinical in Chicago, IL

Active since May 17, 2007Opted out of Medicare · through Dec 17, 2027
180 N MICHIGAN AVE STE 1820, CHICAGO, IL 60601(773) 559-2245 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Karin Michelle Nussbaum Ph.d. NPPES

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

DR. KARIN MICHELLE NUSSBAUM PH.D. (NPI 1417165242) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071007258) and active in the NPI registry since May 2007. She has opted out of Medicare through December 17, 2027.

NPPES Registry Identity

NPI1417165242
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KARIN MICHELLE NUSSBAUMCredential: PH.D.
Location Address180 N MICHIGAN AVE STE 1820Chicago, IL 60601-7415
Mailing Address2433 Center AveNorthbrook, IL 60062-4452 · (773) 559-2245
Phone(773) 559-2245
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 11, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1417165242 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 · 071007258
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.
180 N MICHIGAN AVE STE 1820, Chicago, IL 60601
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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. Karin Michelle Nussbaum 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 December 17, 2025 through December 17, 2027.

Opt-Out Effective DateDecember 17, 2025
Opt-Out In Effect ThroughDecember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

KARIN M. NUSSBAUM, PH.D., PLLC
Psychologist (Clinical)
180 N MICHIGAN AVE STE 1820
CHICAGO, IL 60601
Cook County (773) 559-2245

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 Karin Nussbaum's NPI number?

The NPI number for Karin Nussbaum is 1417165242. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Karin Nussbaum located?

Karin Nussbaum practices at 180 N Michigan Ave Ste 1820, Chicago, IL 60601. The listed phone number is (773) 559-2245.

What is Karin Nussbaum's specialty?

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

Is Karin Nussbaum enrolled in Medicare?

No. Karin Nussbaum has opted out of Medicare through December 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Karin Nussbaum was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.