DR. MARY SUE P LAFFERTY PHD
NPI 1700969060
Psychologist - Clinical in Evanston, IL

Q: What is Mary Sue Lafferty's NPI number?

The NPI number for Mary Sue Lafferty is 1700969060. It was assigned to this individual provider in the NPPES registry on October 23, 2006. The provider is also known as Dr. Sue P Lafferty Ph.D..

Q: What is Mary Sue Lafferty's specialty?

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

Q: Is Mary Sue Lafferty enrolled in Medicare?

No. Mary Sue Lafferty has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mary Sue Lafferty was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 23, 2006Opted out of Medicare · through Jan 31, 2028

2530 CRAWFORD AVE, #304, EVANSTON, IL 60201(847) 475-8625(847) 869-8116 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mary Sue P Lafferty Phd NPPES

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

DR. MARY SUE P LAFFERTY PHD (NPI 1700969060) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (071004575) and active in the NPI registry since October 2006. She has opted out of Medicare through January 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700969060

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY SUE P LAFFERTYCredential: PHD

Location Address2530 CRAWFORD AVE, #304Evanston, IL 60201-4970

Mailing Address2530 Crawford Ave, #304Evanston, IL 60201-4970 · (847) 475-8625 · Fax (847) 869-8116

Phone(847) 475-8625

Fax(847) 869-8116

Sole ProprietorYes

Enumeration DateOctober 23, 2006

Last NPPES UpdateJanuary 16, 2015

✔ NPI 1700969060 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 · 071004575

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.

2530 CRAWFORD AVE, Evanston, IL 60201

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Sue P Lafferty Ph.d.

Other Identifiers 2

Other0001673728IL · Blue Cross

Medicaid245190IL

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. Mary Sue P Lafferty Phd 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 January 31, 2016 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2016

Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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.

MR. JAMES EDWARD RITTER LCPC

Counselor (Mental Health)

2530 CRAWFORD AVE, SUITE 304
EVANSTON, IL 60201

Cook County (773) 308-5995

DR. DIANA BELIARD PH.D.

Psychologist (Clinical)

2530 CRAWFORD AVE, SUITE 308
EVANSTON, IL 60201

Cook County (847) 328-9566

NORWIL C FRIAL & ASSOCIATES LTD

Psychologist (Clinical)

2530 CRAWFORD AVE, SUITE 206
EVANSTON, IL 60201

Cook County (312) 339-6208

KALLMANN COUNSELING AND CONSULTING, P.C.

Counselor (Professional)

2530 CRAWFORD AVE, SUITE 208
EVANSTON, IL 60201

Cook County (224) 688-2277

DR. JAMES DALE MCHOLLAND PHD

Psychologist (Clinical)

2530 CRAWFORD AVE
EVANSTON, IL 60201

Cook County (847) 869-4650

DR. KATHERINE SHEILA METRES PSY.D.

Psychologist (Clinical)

2530 CRAWFORD AVE, SUITE 115
EVANSTON, IL 60201

Cook County (847) 424-9110

PEGGY HOUGH L.C.P.C.

Counselor (Professional)

2530 CRAWFORD AVE, SUITE 114
EVANSTON, IL 60201

Cook County (847) 425-1778

WENDY B. DOLIN, LCSW, LLC

Social Worker (Clinical)

2530 CRAWFORD AVE, SUITE 219
EVANSTON, IL 60201

Cook County (847) 910-2346

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 Mary Sue Lafferty's NPI number?

The NPI number for Mary Sue Lafferty is 1700969060. It was assigned to this individual provider in the NPPES registry on October 23, 2006. The provider is also known as Dr. Sue P Lafferty Ph.D..

Where is Mary Sue Lafferty located?

Mary Sue Lafferty practices at 2530 Crawford Ave #304, Evanston, IL 60201. The listed phone number is (847) 475-8625.

What is Mary Sue Lafferty's specialty?

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

Is Mary Sue Lafferty enrolled in Medicare?

No. Mary Sue Lafferty has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Sue Lafferty was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.