Individual provider Active NPI

James M Dugo, PH. D.

  • Psychologist
  • Des Plaines, IL
National Provider Identifier
1316122898
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-00175 Issued in IL
Practice address
84 N Broadway St
Des Plaines, IL 60016-2348
Phone
(847) 635-2040
Fax
(847) 635-9277
NPI assigned
Jan 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071-00175 IL Primary

Addresses

Primary practice location

84 N Broadway St
Des Plaines, IL 60016-2348

Mailing address

84 N Broadway St
Des Plaines, IL 60016-2348
Phone (847) 635-2040

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
I20040401000186 IL Practitioner - Clinical Psychologist 7012909104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1400 Renaissance Dr
Suite 205
Park Ridge, IL 60068-1335
Phone (847) 877-3138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-00175ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. James Dugo LLC CurrentSince Oct 10, 2009 Accepting new patients
Dr Dugo and Associates PC PastSince Jan 1, 1992 Accepting new patients

Locations

84 N Broadway St
Des Plaines, IL 60016
Phone (847) 635-2040

1400 Renaissance Dr
Ste 205
Park Ridge, IL 60068
Phone (847) 296-8300

1480 Renaissance Dr
Ste 205
Park Ridge, IL 60068
Phone (847) 751-4651

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1316122898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 N BROADWAY ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162348",
            "telephone_number": "847-635-2040",
            "fax_number": "847-635-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 N BROADWAY ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162348",
            "telephone_number": "847-635-2040",
            "fax_number": "847-635-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGO",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-00175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.