Charlene M.T. Pierce, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006432 Issued in IL

Practice address

24402 W Lockport St
Ste 224
Plainfield, IL 60544-4248

Phone

(708) 476-2656

NPI assigned

Nov 17, 2006

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, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Agor Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Plainfield, IL
  • NPI 1346445871
  NPD (past)
• Alex E McKibbin Ms LCPC

  • Professional Counselor
  • Plainfield, IL
  • NPI 1316825342
  NPD (past)
• Cypress Professional Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burr Ridge, IL
  • NPI 1548430911
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1043383714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT ST",
            "address_2": "STE 224",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444248",
            "telephone_number": "708-476-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT ST",
            "address_2": "STE 224",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444248",
            "telephone_number": "708-476-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CHARLENE",
        "middle_name": "M.T.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Holistic Counseling PLLC
• Physician Imaging Solutions Inc
• Physiotherapy Associates
• Bryan Piantek, PT
• Connor Pickard, ATC
• Heather A Pierce, PHARMD
• Kassie Pierson
• Pinnacle Dental Group
• Zachary Pirc
• Francine Pitcairn, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.