SARAH KHAZOUM PSYD
NPI 1821700741
Psychologist - Clinical in Chicago, IL

Active since December 22, 2022Opted out of Medicare · through Dec 10, 2026
333 N MICHIGAN AVE STE 2400, CHICAGO, IL 60601(312) 248-4936 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sarah Khazoum Psyd NPPES

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

SARAH KHAZOUM PSYD (NPI 1821700741) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010904) and active in the NPI registry since December 2022. She has opted out of Medicare through December 10, 2026.

NPPES Registry Identity

NPI1821700741
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSARAH KHAZOUMCredential: PSYD
Location Address333 N MICHIGAN AVE STE 2400Chicago, IL 60601-4040
Mailing Address333 N Michigan Ave Ste 2400Chicago, IL 60601-4040
Sole ProprietorYes
Enumeration DateDecember 22, 2022
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1821700741 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 · 071.010904
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.

333 N MICHIGAN AVE STE 2400, Chicago, IL 60601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sarah Khazoum Psyd 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 10, 2024 through December 10, 2026.

Opt-Out Effective DateDecember 10, 2024
Opt-Out In Effect ThroughDecember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Counselor
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Psychologist (Clinical)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Counselor (Professional)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Counselor (Professional)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Counselor (Professional)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601
Counselor (Professional)
333 N MICHIGAN AVE STE 2400
CHICAGO, IL 60601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821700741, enumerated as an "individual" on December 22, 2022.

The provider is located at 333 N MICHIGAN AVE STE 2400 CHICAGO, IL 60601 and the phone number is (312) 248-4936.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.