Cynthia L Doodeman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007776 Issued in IL

Practice address

6600 N Bosworth Ave
Apt 1S
Chicago, IL 60626-4200

Phone

(630) 697-3440

NPI assigned

Dec 3, 2009

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

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.

Opted out of Medicare

Yes, effective Nov 17, 2016 through Nov 17, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Queer Notions Psychology LTD

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1952061772
  NPD Authorized official
• Queer Notions Psychology

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1053086413
  NPD (past) Authorized official
• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)
• Mark D Parisi Psy D & Associates PC

  • Clinical Psychologist
  • Mount Prospect, IL
  • NPI 1487728283
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1295063188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N BOSWORTH AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264200",
            "telephone_number": "630-697-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N BOSWORTH AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264200",
            "telephone_number": "630-697-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOODEMAN",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Anne Dontchos, PT
• Donteria Enterprise LLC
• Ashti Doobay Persaud, M.D.
• Victoria Melissa Doobay, PH.D.
• Gina Doocy, RD, LDN, CDE
• Brienne Doody, LCSW
• Elizabeth Rose Doogan
• Keith A. Dookeran
• Alexander Doolas, M.D.
• Jennifer Anna Doolas, LCSW

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.