Organization Active NPI

DC Psych Consulting

  • Clinical Psychologist
  • Olympia Fields, IL
National Provider Identifier
1184036121
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007594 Issued in IL
Legal business name
DC PSYCH CONSULTING
Practice address
3615 Park Dr
Suite 203 B
Olympia Fields, IL 60461-1186
Phone
(708) 510-4755
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Deborah Jean Chiles, PSY. D.
Title
Clinical Director
Phone
(708) 510-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071007594 IL Primary

Addresses

Primary practice location

3615 Park Dr
Suite 203 B
Olympia Fields, IL 60461-1186

Mailing address

3615 Park Dr
Suite 203 B
Olympia Fields, IL 60461-1186
Phone (708) 510-4755

Other identifiers 1

IdentifierTypeStateIssuer
337564789100MedicaidIL

National Provider Directory

National Provider Directory

Locations

3615 Park Dr
Ste 203B
Olympia Fields, IL 60461
Phone (630) 506-6321

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1184036121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 PARK DR",
            "address_2": "SUITE 203 B",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611186",
            "telephone_number": "708-510-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 PARK DR",
            "address_2": "SUITE 203 B",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611186",
            "telephone_number": "708-510-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC PSYCH CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "CHILES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-510-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337564789100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.