Active NPI
Erin M. Odonohue, PSY.D.
- Clinical Psychologist
- Long Grove, IL
National Provider Identifier
1245569268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007909
- Practice address
- 4160 RFD Ste 307
Long Grove, IL 60047-9586 - Phone
- (630) 235-5876
- NPI assigned
- Dec 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.007909 | IL | Primary |
| Professional Counselor | 101YP2500X | 178.006421 | IL |
Addresses
Primary practice location
4160 RFD Ste 307
Long Grove, IL 60047-9586
Mailing address
4160 RFD Ste 307
Long Grove, IL 60047-9586
Phone (630) 235-5876
Other practice location 1
13011 S 104th Ave Ste 200
Palos Park, IL 60464-1500
Phone (170) 844-8330
Other names 1
- Dr. Erin M. Omalley
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006421 | IL | MD | Professional Counselor |
| 071.007909 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O'Donohue Partners LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Long Grove, IL
- NPI 1255836896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1245569268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 RFD STE 307",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600479586",
"telephone_number": "630-235-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 RFD STE 307",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600479586",
"telephone_number": "630-235-5876"
}
],
"practiceLocations": [
{
"address_1": "13011 S 104th Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Palos Park",
"state": "IL",
"postal_code": "604641500",
"country_code": "US",
"telephone_number": "170-844-8330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODONOHUE",
"first_name": "ERIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007909",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.006421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "OMALLEY",
"middle_name": "M.",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.