Organization Active NPI

Debra a Carioti, PSYD, PLLC

  • Clinical Psychologist
  • Arlington Heights, IL
National Provider Identifier
1225776115
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DEBRA A CARIOTI, PSYD, PLLC
Practice address
1603 E Central Rd Apt 228
Arlington Heights, IL 60005-3377
Phone
(847) 542-6658
NPI assigned
May 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Authorized official

Name
Dr. Debra A Carioti, PSYDNPI 1467564849
Title
Clinical Psychologist
Phone
(847) 542-6658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1603 E Central Rd Apt 228
Arlington Heights, IL 60005-3377

Mailing address

1603 E Central Rd Apt 228
Arlington Heights, IL 60005-3377

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dcarioti@deepeninglife.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826002240 IL Part B Supplier - Clinic/Group Practice 0547644403 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1225776115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E CENTRAL RD APT 228",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E CENTRAL RD APT 228",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053377",
            "telephone_number": "847-542-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A CARIOTI, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "CARIOTI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-542-6658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dcarioti@deepeninglife.com",
            "affiliation": "N",
            "address_1": "1603 E Central Rd Apt 228",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600053377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.