Carol Ann O'Connor, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004020 Issued in IL

Practice address

1400 Patriot Blvd
# 2127
Glenview, IL 60026-7702

Phone

(847) 675-5850

Fax

(847) 657-9150

NPI assigned

Mar 7, 2007

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1043340847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PATRIOT BLVD",
            "address_2": "# 2127",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267702",
            "telephone_number": "847-528-0823",
            "fax_number": "847-589-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PATRIOT BLVD",
            "address_2": "# 2127",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267702",
            "telephone_number": "847-675-5850",
            "fax_number": "847-657-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy R Novotny, M.D.
• Novus Counseling Collaborative, LLC
• Susan L Nowak, COTA/L
• Bruce Noxon, D.P.M.
• Colleen Malley Nugent, MD
• Danielle O'Donnell
• Lizetta O'Donnell
• Jeffrey H O'Koon, PH.D.
• Patricia Hann O'Leary, MD
• Michael R O'Rourke, MD

• Clinical Psychologist in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.