Active NPI
Ann Dourlet Mott, PSYD
- Clinical Psychologist
- Palatine, IL
National Provider Identifier
1013016161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004004
- Practice address
- 800 E Northwest Hwy
Suite 407
Palatine, IL 60074 - Phone
- (847) 604-4140
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004004 | IL | Primary |
Addresses
Primary practice location
800 E Northwest Hwy
Suite 407
Palatine, IL 60074
Mailing address
800 E Northwest Hwy
Suite 407
Palatine, IL 60074
Phone (847) 604-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004004 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1013016161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E NORTHWEST HWY",
"address_2": "SUITE 407",
"city": "PALATINE",
"state": "IL",
"postal_code": "60074",
"telephone_number": "847-604-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E NORTHWEST HWY",
"address_2": "SUITE 407",
"city": "PALATINE",
"state": "IL",
"postal_code": "60074",
"telephone_number": "847-604-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "ANN",
"middle_name": "DOURLET",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.