DR. LINDA K GUSTAFSON (PH.D.) – Clinical Psychologist, NPI 1154426922

DR. LINDA K GUSTAFSON (PH.D.) is a healthcare provider. based in Skokie, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. The NPI Number for DR. LINDA K GUSTAFSON (PH.D.) is 1154426922

Main info

Female
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDA K GUSTAFSON (PH.D.)
NPI
1154426922
Phone
(847) 673-0718
Address
8170 MC CORMICK BLVD
Enumeration Date
14 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303629192
Graduation Year
1974 (52 years ago)
PAC ID
4981892262
Group Practice PAC ID
8820901861
Professional Enrollment ID
I20101230000988
Address ID
IL605045356AU822XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. LINDA K GUSTAFSON (PH.D.)

  • 8170 MC CORMICK BLVD

    C/O DAVKEN #204

    SKOKIE, IL 600762920

    Phone: (847) 673-0718

    Fax: (847) 673-0875

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101230000988IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes83647$0
90834Psychotherapy, 45 minutes20825$0
90791Psychiatric diagnostic evaluation2625$0
View full utilization report →

Insurance plans in this area (ZIP 60076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901861View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. LINDA K GUSTAFSON (PH.D.) in U.S. healthcare records?
The official identifier for DR. LINDA K GUSTAFSON (PH.D.) is NPI 1154426922.
Active or inactive — what applies to DR. LINDA K GUSTAFSON (PH.D.)?
You should see DR. LINDA K GUSTAFSON (PH.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. LINDA K GUSTAFSON (PH.D.)'s focus?
For DR. LINDA K GUSTAFSON (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LINDA K GUSTAFSON (PH.D.)?
Directory geography for DR. LINDA K GUSTAFSON (PH.D.) centers on Skokie, Illinois.
When was this NPI issued?
Enumeration for DR. LINDA K GUSTAFSON (PH.D.) is noted as September 14, 2006 where the registry provides it.

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