Individual provider Active NPI

Frank Anthony Mordini, PSY.D.

  • Clinical Psychologist
  • Orland Park, IL
National Provider Identifier
1235281338
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004113 Issued in IL
Practice address
15010 S Ravinia Ave
Ste 14
Orland Park, IL 60462-5353
Phone
(708) 349-4420
Fax
(708) 349-4421
NPI assigned
Jan 17, 2007
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 071004113 IL Primary

Addresses

Primary practice location

15010 S Ravinia Ave
Ste 14
Orland Park, IL 60462-5353

Mailing address

15010 S Ravinia Ave
Ste 14
Orland Park, IL 60462-5353
Phone (708) 349-4420

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
I20070316000354 IL Practitioner - Clinical Psychologist 3870696511 Reassigns benefits to 1 organization
Practice locations: Orland Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mordini Neuropsychology Services IncGroup PAC ID 9537530860, 4 clinicians

Practice addresses (Care Compare)

15040 S Ravinia Ave
Suite 49
Orland Park, IL 60462-3173
Phone (708) 349-4420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mordini Neuropsychology Services Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

15040 S Ravinia Ave
Ste 49
Orland Park, IL 60462
Phone (708) 349-4420

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1235281338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "STE 14",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625353",
            "telephone_number": "708-349-4420",
            "fax_number": "708-349-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "STE 14",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625353",
            "telephone_number": "708-349-4420",
            "fax_number": "708-349-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDINI",
        "first_name": "FRANK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.