DR. CARLY ROSENBERG (PSYD) – Clinical Psychologist, NPI 1184083503
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
Provider Addresses for DR. CARLY ROSENBERG (PSYD)
2071 N SOUTHPORT AVE STE 100
Chicago, IL 606144015
Phone: (630) 428-7890
Type: Location
2845 N Sheridan Road
Suite 809
Chicago, IL 60657
Phone: (877) 384-0635
Type: Location
7900 Cass Ave Ste 200
Darien, IL 605615073
Phone: (630) 428-7890
Type: Location
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630
Phone: (630) 428-7890
Type: Mailing
Hawthorn Parkway, Leithton, Vernon Hills, Lake County, Illinois, 60061, United States
SUITE 235
VERNON HILLS, IL 600611463
Phone: (847) 868-3435
Type: Mailing
500 N MICHIGAN AVE STE 1400
CHICAGO, IL 606113759
Phone: (630) 428-7890
Type: Location
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: 2025-10-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251010000594 | I | Clinical Psychologist | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60614)
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