Carl V Indovina, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

18100 W Oak Ave
Lockport, IL 60441-6125

Phone

(815) 774-0327

Fax

(815) 774-0443

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Trinity Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lockport, IL
  • NPI 1609834191
  NPD (past)
• Trinity Services Inc.

  • Social Worker
  • Joliet, IL
  • NPI 1902086861
  NPD (past)
• Trinity Services Inc.

  • Physician Assistant
  • Joliet, IL
  • NPI 1942750534
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033324348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 W OAK AVE",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416125",
            "telephone_number": "815-774-0327",
            "fax_number": "815-774-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 W OAK AVE",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416125",
            "telephone_number": "815-774-0327",
            "fax_number": "815-774-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDOVINA",
        "first_name": "CARL",
        "middle_name": "V",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homer Township Fire Protection District
• Linda Ann Hozjan
• Barbara Jean Hrusosky
• Jennifer Hume
• Amanda Ibrahim, PHARMD
• Hiba Iqbal, DMD
• J4J Enterprises, LLC
• Fran Jackson
• Stacy Jager, MT-BC
• Kevin Jakowitsch, DC

• Clinical Psychologist in Lockport, IL
• Providers in Lockport, IL by specialty
• Clinical 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.