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ALLAN SCHOLOM PHD
NPI 1992422604
Psychologist - Clinical in Chicago, IL

Active since October 24, 2022Opted out of Medicare · through Nov 3, 2026
30 N MICHIGAN AVE STE 1914, CHICAGO, IL 60602(312) 641-1140 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allan Scholom Phd NPPES

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

ALLAN SCHOLOM PHD (NPI 1992422604) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071002025) and active in the NPI registry since October 2022. He has opted out of Medicare through November 3, 2026.

NPPES Registry Identity

NPI1992422604
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameALLAN SCHOLOMCredential: PHD
Location Address30 N MICHIGAN AVE STE 1914Chicago, IL 60602-3623
Mailing Address30 N Michigan Ave Ste 1914Chicago, IL 60602-3623 · (312) 641-1140
Phone(312) 641-1140
Sole ProprietorYes
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1992422604 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 · 071002025
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 STE 1914, Chicago, IL 60602
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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

Allan Scholom 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 November 3, 2022 through November 3, 2026.

Opt-Out Effective DateNovember 3, 2022
Opt-Out In Effect ThroughNovember 3, 2026Opt-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.

ELIZABETH SCHOLOM
Psychologist (Clinical)
30 N MICHIGAN AVE STE 1914
CHICAGO, IL 60602
Cook County (847) 861-0240

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 Allan Scholom's NPI number?

The NPI number for Allan Scholom is 1992422604. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Allan Scholom located?

Allan Scholom practices at 30 N Michigan Ave Ste 1914, Chicago, IL 60602. The listed phone number is (312) 641-1140.

What is Allan Scholom's specialty?

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

Is Allan Scholom enrolled in Medicare?

No. Allan Scholom has opted out of Medicare through November 3, 2026. 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 Allan Scholom was last updated on October 24, 2022. 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.