Carol A McDonough, PH.D.

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

071002559 Issued in IL

Practice address

1551 Huntington Dr
Calumet City, IL 60409-5440

Phone

(708) 732-8024

Fax

(708) 827-5068

NPI assigned

Jun 21, 2006

Last updated

Nov 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1194761759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 S SHAWNEE RD",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632035",
            "telephone_number": "708-732-8024",
            "fax_number": "708-827-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 HUNTINGTON DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095440",
            "telephone_number": "708-732-8024",
            "fax_number": "708-827-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "07100559",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IL",
            "license": "071002559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshelle Mason
• Jessica Ann Massucci, M.S.CCC-SLP
• Josselyn Matthews, PHARM.D
• Natasha Matthews
• Kimberly Lynetta McCarter
• Ashleigh Nipon McFarlin, PHARMD
• Candi L McGregor, LPTA
• Romenita McKniight
• Sharon N. McNeal, REGISTERED NURSE
• Jeffrey McNeil

• Rehabilitation Psychologist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Rehabilitation Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.