Rebecca L. Lockwood, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006634 Issued in IL

Practice address

453 Coventry LN
Suite 103a
Crystal Lake, IL 60014-7504

Phone

(847) 754-1488

Fax

(815) 356-1488

NPI assigned

Oct 1, 2007

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.lockwood@aaphc.eclinicaldirectplus.com

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.

• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1780608992
  Medicare reassignment NPD
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624
  Medicare reassignment NPD
• Lockwood Psychological Services LTD

  • Clinical Psychologist
  • Crystal Lake, IL
  • NPI 1386748796
  NPD Authorized official
• Albany Area Primary Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1013709625
  NPD
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pinehurst, GA
  • NPI 1427413137
  NPD
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sylvester, GA
  • NPI 1811874696
  NPD
• Neurobehavioral Health Connections, LTD

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1164545836
  NPD (past)
• Robert M Pasen PHD PC

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1821030024
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1295922482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COVENTRY LN",
            "address_2": "SUITE 103A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147504",
            "telephone_number": "847-754-1488",
            "fax_number": "815-356-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 COVENTRY LN",
            "address_2": "SUITE 103A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147504",
            "telephone_number": "847-754-1488",
            "fax_number": "815-356-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelle Link, DPT
• Jerry X Liu, M.D.
• Lla Counseling and Consulting, PLLC
• Haley Juliet Lochan, LCSW
• Lockwood Psychological Services LTD
• Lindsay M Loehner, FNP-BC
• Tana Lombardo, APRN
• Megan Long, DPT
• Myra Rose Longnecker
• Luigi Longo, PHARM.D.

• Clinical Psychologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.