Dr. Andrew Glenn Beatty, PsyD

Psychologist, Clinical in Chicago, IL. Individual provider (NPI-1).

NPI number1124328752

StatusActive

Last updated in NPPESMar 17, 2018

Details

NPI: 1124328752
Entity type: Individual (NPI-1)
Name: Dr. Andrew Glenn Beatty
Credential: PsyD
Sex: Male
Sole proprietor: No
Enumeration date: Oct 29, 2010
Last updated: Mar 17, 2018

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	071007983	IL	Yes

Practice location

2900 N Lake Shore Dr Fl 9
Chicago, IL 60657-5640

Phone 773-665-4836

Mailing address

1460 N Halsted St Ste 501
Chicago, IL 60642-2615

Phone 773-388-6390 · Fax 312-867-7101

Other practice locations

1460 N Halsted St Ste 501
Chicago, IL 60642-2615

Phone 773-388-6390 · Fax 312-867-7101

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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