Individual provider Active NPI

Patrick T Casey, PHD

  • Clinical Psychologist
  • Evanston, IL
National Provider Identifier
1295789980
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010802 Issued in IL
Practice address
1603 Orrington Ave Ste 602
Evanston, IL 60201-3841
Phone
(312) 781-2850
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 071.010802 IL Primary

Addresses

Primary practice location

1603 Orrington Ave Ste 602
Evanston, IL 60201-3841

Mailing address

8941 Marmora Ave
Morton Grove, IL 60053-2448
Phone (312) 781-2850

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
I20260126000343 IL Practitioner - Clinical Psychologist 2860444817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
R Franklin University of Med & Sci/Chicago Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1529 W Farwell Ave
Apt 1S
Chicago, IL 60626-3657

1603 Orrington Ave
Evanston, IL 60201-3807

8941 Marmora Ave
Morton Grove, IL 60053-2448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.010802ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Psych Therapy Group, Inc. Clinical CurrentSince Jan 15, 2026 Accepting new patients
Lakeland Community Hospital Watervliet Past Accepting new patients
Lakeland Community Hospital Watervliet Past Accepting new patients

Locations

1603 Orrington Ave
Ste 602
Evanston, IL 60201
Phone (312) 781-2850

1603 Orrington Ave
Evanston, IL 60201
Phone (312) 781-2850

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1295789980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 MARMORA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532448",
            "telephone_number": "312-781-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 602",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013841",
            "telephone_number": "312-781-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "PATRICK",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.