Individual provider Active NPI

Pamela Jean McMullin, PSYD LCPC

  • Clinical Psychologist
  • Oak Brook, IL
National Provider Identifier
1184788671
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007966 Issued in IL
Practice address
1200 Harger Rd Ste 600
Oak Brook, IL 60523-1820
Phone
(630) 571-5750
Fax
(630) 571-5751
NPI assigned
Dec 20, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071007966 IL Primary

Addresses

Primary practice location

1200 Harger Rd Ste 600
Oak Brook, IL 60523-1820

Mailing address

237 Rosehall Dr
Lake Zurich, IL 60047-6224
Phone (847) 207-8702

Other practice location 1

237 Rosehall Dr
Lake Zurich, IL 60047-6224
Phone (847) 207-8702

Other practice location 2

1701 E Woodfield Rd Ste 1050
Schaumburg, IL 60173-5141
Phone (630) 216-9238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071007966ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shared Vision Psychological Services Clinical PastSince Jun 15, 2021 Accepting new patients
Adam Shafer, P.C. Clinical PastSince Jun 15, 2021 Accepting new patients
The Center for Connections, LLC Clinical PastSince Aug 17, 2025 Accepting new patients
Lawrence L. Kerns, M.D. & Associates Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1184788671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ROSEHALL DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476224",
            "telephone_number": "847-207-8702",
            "fax_number": "630-571-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD STE 600",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231820",
            "telephone_number": "630-571-5750",
            "fax_number": "630-571-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Rosehall Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600476224",
            "country_code": "US",
            "telephone_number": "847-207-8702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 E Woodfield Rd Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601735141",
            "country_code": "US",
            "telephone_number": "630-216-9238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLIN",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "PSYD LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.