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Deactivated NPI 1073643102 Deactivated / Inactive NPI Female Practitioner

Dr. Susanne Streicker , PhD

Psychologist • Evanston, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Susanne Streicker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date August 23, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Susanne Streicker, PhD was a registered Psychologist practicing in Evanston, IL. Throughout an active medical career spanning 16 years, Dr. Streicker provided care at the practice location at 607 LAKE ST until profile deactivation on 2023-08-23.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

607 Lake St

Evanston, IL 602014412

Telephone 8474753103

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.6 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
44 Specialists

Practicing in Evanston, IL (1075 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
327 13 $446.51 $139.64
90791 Psychiatric diagnostic evaluation
20 11 $195.14 $143.35

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 23, 2023

Record deactivated on August 23, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 607 LAKE ST, EVANSTON, IL 602014412 (Tel: 8474753103)

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Updated Business Mailing Address July 08, 2007

Registered at 1628 HUNTINGTON LN, HIGHLAND PARK, IL 600352714 (Tel: 8476070711)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SUSANNE STREICKER, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist

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Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073643102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 08, 2007
Deactivation Date: August 23, 2023

Mailing Address

1628 Huntington Ln

Highland Park, IL 600352714

Phone: 8476070711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
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