Active NPI
Pamela Jean McMullin, PSYD LCPC
- Clinical Psychologist
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007966
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007966 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shared Vision Psychological Services | Clinical | Past | Accepting new patients |
| Adam Shafer, P.C. | Clinical | Past | Accepting new patients |
| The Center for Connections, LLC | Clinical | Past | 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.
-
- Mental Health Counselor
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- NPI 1740479955
-
dba Shared Vision Psychological Services, dba Pediatric Psychology Assoc.
- Clinical Psychologist
- Oak Brook, IL
- NPI 1275738130
-
dba The Center for Connections
- Psychologist
- Schaumburg, IL
- NPI 1710508015
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.