Active NPI
Holly Orcutt, PHD
- Cognitive & Behavioral Psychologist
- Saint Charles, IL
National Provider Identifier
1316423924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 071006076
- Practice address
- 475 Dunham Rd Ste 1B
Saint Charles, IL 60174-1498 - Phone
- (630) 899-9403
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 071006076 | IL | Primary |
Addresses
Primary practice location
475 Dunham Rd Ste 1B
Saint Charles, IL 60174-1498
Mailing address
475 Dunham Rd Ste 1B
Saint Charles, IL 60174-1498
Phone (630) 899-9403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1316423924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 DUNHAM RD STE 1B",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601741498",
"telephone_number": "630-899-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 DUNHAM RD STE 1B",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601741498",
"telephone_number": "630-899-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORCUTT",
"first_name": "HOLLY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IL",
"license": "071006076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.