Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Hannah Elise Gomez , BCBA

Behavior Analyst β€’ Chicago, IL

Active NPI 1487163937 Individual Practitioner Female Practitioner
Practice location in NPPES

2762 N Lincoln Ave
Chicago, IL 606142425

Call 8442477222 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2762 N Lincoln Ave

Chicago, IL 606142425

Telephone 8442477222
Fax 8473483706
Organization at the Same NPPES Address or Phone
Autism Home Support Services, Inc. Facility NPI 1053902684

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

675 active clinicians are listed under Behavior Analyst with a practice address in Chicago, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0% of these 675 clinicians have the CMS telehealth indicator.

0% of these 675 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IL 1-17-27809

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Matthew Shaffer , LCSW

Social Worker - Clinical

NPI 1912277500

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 10, 2020

Registered at 2762 N LINCOLN AVE, CHICAGO, IL 606142425 (Tel: 8442477222)

πŸ“
Updated Business Mailing Address January 10, 2020

Registered at 5 REVERE DR STE 120, NORTHBROOK, IL 600628005 (Tel: 8478073717)

βœ…
NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 28, 2017

Registered at 650 W GRAND AVE STE 207, ELMHURST, IL 601261025 (Tel: (844) 263-1613)

πŸ“
Business Mailing Address (Initial Record) September 28, 2017

Registered at 650 W GRAND AVE STE 207, ELMHURST, IL 601261025 (Tel: 8442631613)

πŸ‘€
Provider Name / Credentials (Initial Record) September 28, 2017

Recorded as HANNAH GOMEZ, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Behavior Analyst (license number reported to NPPES: IL 1-17-27809)

🟒
Initial NPI Registration & Enumeration September 28, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1487163937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2017
Last Update: January 10, 2020
Sole Proprietor: No

Mailing Address

5 Revere Dr Ste 120

Northbrook, IL 600628005

Phone: 8478073717

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.