Individual provider Active NPI

Calvin Alessandro Fiore, MA

  • Clinical Child & Adolescent Psychologist
  • Barrington, IL
National Provider Identifier
1194498899
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
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

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X IL
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

OrganizationSpecialtyStatusNew patients
Counseling Speaks Mental Health PastSince Aug 1, 2021 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.

Verify at the official NPI Registry.