Christine Carpenter PSYD Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHRISTINE CARPENTER PSYD INC

Practice address

801 South Blvd Ste 1
Oak Park, IL 60302-2855

Phone

(773) 339-1361

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Christine Carpenter, PSYDNPI 1093983603

Title

President

Phone

(773) 339-1361

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Elise Carpenter, PSY.D.

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1093983603

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1114779725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SOUTH BLVD STE 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022855",
            "telephone_number": "773-339-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH BLVD STE 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022855",
            "telephone_number": "773-339-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE CARPENTER PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-339-1361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "1093983603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Cho
• Gerald M Cholewa, APRN
• Maria Chon, DPM
• Lisa M Chorzempa-Schainis, M.D.
• Cynthia Chow, AUD, PHD
• Maxwell Chung
• Michelle Chung, DPT
• Paula Ciccarone, PH.D.
• Richard J Cicchetti, LCPC
• Kimberly Cimino, LMFT

• Adult Mental Health Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.