Mr Jacob B Barack, PSYD - Psychologist in Park Ridge, IL

Mr Jacob B Barack, PSYD is a Psychologist - Clinical based in Park Ridge, Illinois. Mr Jacob B Barack is licensed to practice in Illinois (license number 071.021063) and his current practice location is 1875 Dempster St Ste 470, Park Ridge, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 795-3100.

NPI number for Mr Jacob B Barack is 1063028306 and his current mailing address is 29373 Network Pl, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063028306.

Contact Information

Mr Jacob B Barack, PSYD
1875 Dempster St Ste 470,
Park Ridge, IL 60068-1129
(847) 795-3100
(847) 723-5882

Map and Direction




Healthcare Provider's Profile

Full NameMr Jacob B Barack
GenderMale
SpecialityPsychologist - Clinical
Location1875 Dempster St Ste 470, Park Ridge, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063028306
  • Provider Enumeration Date: 09/22/2020
  • Last Update Date: 10/22/2025

Medical Identifiers

Medical identifiers for Mr Jacob B Barack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063028306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071.021063 (Illinois)Primary
103TC0700XPsychologist - Clinical 0810007923 (Virginia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacob B Barack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jacob B Barack, PSYD
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900
Mr Jacob B Barack, PSYD
1875 Dempster St Ste 470,
Park Ridge, IL 60068-1129

Ph: (847) 795-3100

Reviews and Comments


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Medicare: Accepting Medicare Assignments
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Phone: 847-742-6041    Fax: 866-565-9307

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.