DR. ELLEN SOMBERG PSY.D.
NPI 1619939865
Psychologist - Clinical in Chicago, IL

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
30 N MICHIGAN AVE, SUITE 506, CHICAGO, IL 60602(312) 346-1354 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ellen Somberg Psy.d. NPPES

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

DR. ELLEN SOMBERG PSY.D. (NPI 1619939865) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (71-4307) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1619939865
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELLEN SOMBERGCredential: PSY.D.
Location Address30 N MICHIGAN AVE, SUITE 506Chicago, IL 60602-3402
Mailing Address747 Belleforte AveOak Park, IL 60302-1580 · (708) 524-8631
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619939865 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 · 71-4307
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.
30 N MICHIGAN AVE, Chicago, IL 60602

Other Identifiers 2

Other0001605401IL · Bcbs Id Number
Medicare ID-Type Unspecified206097IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ellen Somberg Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931298981
PECOS Enrollment IDI20071129000073
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 60602 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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 20

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

Dentist (General Practice)
30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602
Allergy & Immunology
30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602
Social Worker (Clinical)
30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602

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 Ellen Somberg's NPI number?

The NPI number for Ellen Somberg is 1619939865. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Ellen Somberg located?

Ellen Somberg practices at 30 N Michigan Ave Suite 506, Chicago, IL 60602. The listed phone number is (312) 346-1354.

What is Ellen Somberg's specialty?

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

Is Ellen Somberg enrolled in Medicare?

Yes. Ellen Somberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ellen Somberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.