M Patricia Farrell PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.003119 Issued in IL

Legal business name

M PATRICIA FARRELL PC

Practice address

7270 W College Dr
Suite 100
Palos Heights, IL 60463-1154

Phone

(708) 361-5677

Fax

(708) 361-5390

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. M Patricia Farrell, PHD

Title

President

Phone

(708) 361-5677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1174826994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 S CORNELL LN",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642165",
            "telephone_number": "708-448-3875",
            "fax_number": "708-361-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 W COLLEGE DR",
            "address_2": "SUITE 100",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631154",
            "telephone_number": "708-361-5677",
            "fax_number": "708-361-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PATRICIA FARRELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-361-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.003119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dlayne Lunt, APN
• Ryan Lustenberger, M.D.
• Joanna M Luty, O.D.
• James Steven Lysaught, OTR/L
• Peter Lyson, MD
• Rebecca J Macdougall, LCSW
• Kyle John Macgillis, MD
• Kirstin Mack, PT
• Emily Mackanin, PT
• Ijeoma V Madueke, MD

• Clinical Psychologist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.