Carolyn M. Reeder, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

500 Coventry LN
Suite 170
Crystal Lake, IL 60014-7579

Phone

(815) 356-2700

Fax

(815) 356-2709

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolyn M Reeder PHD PC

  • Psychologist
  • Vernon Hills, IL
  • NPI 1093821282
  NPD (past) Authorized official
• Centegra Primary Care LLC

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1356883599
  NPD (past)
• Horizons Behavioral Health LLC

  • Social Worker
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  • NPI 1881692689
  NPD (past)
• Rehabilitation Associates of the Midwest, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Palatine, IL
  • NPI 1871546473
  NPD (past)
• Schwab Rehabilitation Hospital and Care Network

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1700968492
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023145349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN",
            "address_2": "SUITE 170",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147579",
            "telephone_number": "815-356-2700",
            "fax_number": "815-356-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN",
            "address_2": "SUITE 170",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147579",
            "telephone_number": "815-356-2700",
            "fax_number": "815-356-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "CAROLYN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rejuvenesse

• Psychologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.