Individual provider Active NPI

Carol Paxton Cox, PSY.D.

  • Clinical Psychologist
  • Grayslake, IL
National Provider Identifier
1225154982
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006939 Issued in IL
Practice address
100 S Atkinson Rd
Suite 205
Grayslake, IL 60030-7817
Phone
(847) 309-2422
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.006939 IL Primary

Addresses

Primary practice location

100 S Atkinson Rd
Suite 205
Grayslake, IL 60030-7817

Mailing address

28357 W Stewart Ave
Spring Grove, IL 60081-9009
Phone (847) 587-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000426 IL Practitioner - Clinical Psychologist 2365625456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 Commerce Dr
Suite C
Grayslake, IL 60030-1646
Phone (847) 309-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.006939ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Paxton Cox Psy D PC Clinical CurrentSince Jul 22, 2009 Accepting new patients

Locations

205 Commerce Dr
Ste C
Grayslake, IL 60030
Phone (847) 309-2422

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225154982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28357 W STEWART AVE",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600819009",
            "telephone_number": "847-587-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ATKINSON RD",
            "address_2": "SUITE 205",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307817",
            "telephone_number": "847-309-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CAROL",
        "middle_name": "PAXTON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.