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Deactivated NPI 1194228619 Deactivated / Inactive NPI Female Practitioner

Dr. Deborah Custer , PhD

Psychologist - School • Lake Forest, 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. Deborah Custer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 11, 2018
NPI Deactivation Date May 18, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Custer, PhD was a registered Psychologist - School practicing in Lake Forest, IL. Throughout an active medical career spanning 1 years, Dr. Custer provided care at the practice location at 100 SAUNDERS RD STE 150 until profile deactivation on 2018-05-18.

Practice Location & Contact Primary Location

Practice Address

100 Saunders Rd Ste 150

Lake Forest, IL 600452526

Telephone 8476517892
Associated Practice Facility / Clinic
🏢 Independent With Autism Facility NPI 1790264927

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Lake Forest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Lake Forest, IL (653 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Angela Selvaggio

Counselor - Professional

NPI 1104267202
Nicholas Larkin , LCPC, LMHC, RN

Counselor - Mental Health

NPI 1518208404

Licensed Clinical Professional Counselor, Licensed Mental Health Counselor, Registered Nurse

Dr. Courtney Viscomi , PsyD, BCBA

Clinical Neuropsychologist

NPI 1649521592

Doctor of Psychology (Psy.D.), Board Certified Behavior Analyst

NPI 1730389685

Doctor of Medicine (M.D.)

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 May 18, 2018

Record deactivated on May 18, 2018

NPI Profile Active March 11, 2018

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2018

Registered at 100 SAUNDERS RD STE 150, LAKE FOREST, IL 600452526 (Tel: 8476517892)

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Updated Business Mailing Address March 11, 2018

Registered at 825 S WAUKEGAN RD, LAKE FOREST, IL 600452696

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Provider Name / Credentials Updated March 11, 2018

Recorded as DEBORAH CUSTER, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2018

Psychologist

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Initial NPI Registration & Enumeration March 11, 2018

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: 1194228619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2018
Last Update: March 11, 2018
Deactivation Date: May 18, 2018

Mailing Address

825 S Waukegan Rd

Lake Forest, IL 600452696

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

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