Carly Flannigan, ED.S., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2052204 Issued in IL

Practice address

855 E Palatine Rd Ste 250
Palatine, IL 60074-5500

Phone

(847) 504-9521

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1285127928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W COLFAX ST UNIT 508",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675029",
            "telephone_number": "847-302-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E PALATINE RD STE 250",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745500",
            "telephone_number": "847-504-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNIGAN",
        "first_name": "CARLY",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2052204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Palatine, IL
• Providers in Palatine, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.