LISA N KASDAN (PSY.D.) – Clinical Psychologist, NPI 1326069683

LISA N KASDAN (PSY.D.) is a healthcare provider. based in Northbrook, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071005943 (IL). The NPI Number for LISA N KASDAN (PSY.D.) is 1326069683

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
LISA N KASDAN (PSY.D.)
NPI
1326069683
Phone
(847) 767-7400
Address
4201 LAKE COOK RD STE 100
Enumeration Date
22 July 2006
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7085975251
Graduation Year
1998 (28 years ago)
PAC ID
8527065754
Group Practice PAC ID
8820901861
Professional Enrollment ID
I20061101000411
Address ID
IL604451370CR13301AVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for LISA N KASDAN (PSY.D.)

  • 4201 LAKE COOK RD STE 100

    NORTHBROOK, IL 600621060

    Phone: (847) 767-7400

    Type: Mailing

  • 350, Pfingsten Road, Northfield Township, Cook County, Illinois, 60062, United States

    SUITE 107

    NORTHBROOK, IL 600622032

    Phone: (847) 767-7400

    Fax: (630) 929-3716

    Type: Mailing

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: 2006-11-01

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
I20061101000411IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60062)

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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

Can I cross-check LISA N KASDAN (PSY.D.) using NPI 1326069683?
NPI 1326069683 belongs to LISA N KASDAN (PSY.D.); compare other details if you need extra assurance.
Is LISA N KASDAN (PSY.D.) still an active registrant?
LISA N KASDAN (PSY.D.) carries an active NPI according to the public dataset.
What kind of doctor is LISA N KASDAN (PSY.D.)?
LISA N KASDAN (PSY.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is LISA N KASDAN (PSY.D.) registered?
Use Northbrook, Illinois as the headline location for LISA N KASDAN (PSY.D.) here.
Can I trust this NPI listing for LISA N KASDAN (PSY.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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