Cottage Clinic Counseling, Inc.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

COTTAGE CLINIC COUNSELING, INC.

Practice address

115 Mooney Dr
Bourbonnais, IL 60914-2147

Phone

(815) 932-8443

Fax

(815) 936-1295

NPI assigned

Aug 13, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharon V. Digiacomo, PSY.D.NPI 1730380742

Title

Licensed Clinical Psych.; President

Phone

(815) 932-8443

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Vogt Digiacomo, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Bourbonnais, IL
  • NPI 1730380742
  Authorized official Same address or phone

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1063604262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MOONEY DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142147",
            "telephone_number": "815-932-8443",
            "fax_number": "815-936-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MOONEY DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142147",
            "telephone_number": "815-932-8443",
            "fax_number": "815-936-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE CLINIC COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "DIGIACOMO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCH.; PRESIDENT",
        "authorized_official_telephone_number": "815-932-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Consolino
• Alan Blaine Coon, M.D., PH.D.
• Megan Corlett, MS, OTR/L
• Cornerstone Services Inc
• Cornerstone Services Inc
• Addison Coulter
• Counseling With PS
• Ryan Grant Covarrubias, QMHP, LCSW
• Cody W Cowman, ATC
• Sarah Jeanette Coyne, FNP-BC

• Clinical Child & Adolescent Psychologist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.