Active NPI
Calvin Alessandro Fiore, MA
- Clinical Child & Adolescent Psychologist
- Barrington, IL
National Provider Identifier
1194498899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 217 Park Ave
Barrington, IL 60010-4332 - Phone
- (331) 240-0044
- Fax
- (312) 674-7470
- NPI assigned
- Jul 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | ||
| Forensic Psychologist | 103TF0200X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
217 Park Ave
Barrington, IL 60010-4332
Mailing address
155 N Michigan Ave Ste 9012
Chicago, IL 60601-7713
Phone (331) 240-0044
Other practice location 1
155 N Michigan Ave Ste 335
Chicago, IL 60601-7710
Phone (331) 240-0044
Other practice location 2
222 E Wisconsin Ave Ste 302
Lake Forest, IL 60045-1723
Phone (331) 240-0044
Other practice location 3
1550 N Northwest Hwy Ste 210
Park Ridge, IL 60068-1459
Phone (331) 240-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Speaks | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1194498899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 9012",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017713",
"telephone_number": "331-240-0044",
"fax_number": "312-674-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 PARK AVE",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600104332",
"telephone_number": "331-240-0044",
"fax_number": "312-674-7470"
}
],
"practiceLocations": [
{
"address_1": "155 N Michigan Ave Ste 335",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606017710",
"country_code": "US",
"telephone_number": "331-240-0044",
"fax_number": "312-674-7470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 E Wisconsin Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451723",
"country_code": "US",
"telephone_number": "331-240-0044",
"fax_number": "312-674-7470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1550 N Northwest Hwy Ste 210",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681459",
"country_code": "US",
"telephone_number": "331-240-0044",
"fax_number": "312-674-7470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIORE",
"first_name": "CALVIN",
"middle_name": "ALESSANDRO",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.