HEATHER EISELE (PH.D.) – Psychologist, NPI 1376843284

HEATHER EISELE (PH.D.) is a healthcare provider. based in Skokie, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071.007975 (IL). The NPI Number for HEATHER EISELE (PH.D.) is 1376843284

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER EISELE (PH.D.)
NPI
1376843284
Phone
(847) 673-0718
Address
8170 MCCORMICK BLVD
Enumeration Date
25 October 2010
Last Update Date
16 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129962200
Graduation Year
2009 (17 years ago)
PAC ID
8022205913
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20101203000920
Address ID
IL606124300CH912XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for HEATHER EISELE (PH.D.)

  • 8170 MCCORMICK BLVD

    SUITE 204

    SKOKIE, IL 600762961

    Phone: (847) 673-0718

    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: 2010-12-03

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
I20101203000920IClinical 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 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: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
-IL
O P H T H A L M O L O G YNY
O T O L A R Y N G O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What identifier follows HEATHER EISELE (PH.D.) across health systems?
The NPI 1376843284 uniquely identifies HEATHER EISELE (PH.D.) in U.S. healthcare data.
Is HEATHER EISELE (PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists HEATHER EISELE (PH.D.) as active.
Which specialty label fits HEATHER EISELE (PH.D.)?
NPPES ties HEATHER EISELE (PH.D.) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to HEATHER EISELE (PH.D.)?
HEATHER EISELE (PH.D.) shows a connection to Skokie, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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