Active NPI
Charie Motley, PSY.D.
- Clinical Psychologist
- Streamwood, IL
National Provider Identifier
1235391814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007473
- Practice address
- 1300 E Irving Park Rd
Streamwood, IL 60107-3204 - Phone
- (630) 837-9000
- Fax
- (630) 837-2710
- NPI assigned
- Jun 25, 2008
- Last updated
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.007473 | IL | Primary |
Addresses
Primary practice location
1300 E Irving Park Rd
Streamwood, IL 60107-3204
Mailing address
1041 Nerge Rd
Apt. 212
Elk Grove Village, IL 60007-3270
Phone (773) 368-0682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007473 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1235391814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 NERGE RD",
"address_2": "APT. 212",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073270",
"telephone_number": "773-368-0682",
"fax_number": "847-352-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E IRVING PARK RD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601073204",
"telephone_number": "630-837-9000",
"fax_number": "630-837-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTLEY",
"first_name": "CHARIE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.