Patricia M Egan Psy.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007492 Issued in IL

Legal business name

PATRICIA M EGAN PSY.D.

Practice address

1011 Loras Dr Ste C
Freeport, IL 61032-6900

Phone

(815) 297-8400

Fax

(815) 235-7741

NPI assigned

Mar 26, 2009

Last updated

Mar 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Townsend

Title

Office Manager

Phone

(815) 235-2353

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1194967836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LORAS DR STE C",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326900",
            "telephone_number": "815-297-8400",
            "fax_number": "815-235-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LORAS DR STE C",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326900",
            "telephone_number": "815-297-8400",
            "fax_number": "815-235-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M EGAN PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-235-2353"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600542543",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "0492223",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Hills Optical Co
• Parkview Home of Freeport, Illinois, Inc.
• Bhadresh A Patel, MD
• Pathway Physical Therapy LLC
• Patricia M Egan and Associates LLC
• Craig R Pauls, D.C.
• Kiley Pauls, OTR/L
• Pearl City Comm Unit Dist 200
• Pearl Pavilion LLC
• Rebecca Lynn Pedersen, MD

• Clinical Psychologist in Freeport, IL
• Providers in Freeport, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.