Carol A. Hoogenboom, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1515 N Harlem Ave
Suite 205-6
Oak Park, IL 60302-1250

Phone

(708) 848-0707

Fax

(267) 430-8942

NPI assigned

Feb 2, 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 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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326186974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E JACKSON BLVD",
            "address_2": "#10-H580",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042263",
            "telephone_number": "708-848-0707",
            "fax_number": "267-430-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 205-6",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-848-0707",
            "fax_number": "267-430-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGENBOOM",
        "first_name": "CAROL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Hollis, RPH
• Ashley Holman, RD, LDN, CDE
• Elizabeth J Holt
• Home Medical Associates, LLC
• Homenurseexpertsplus, Inc.
• Hope at Calvary Inc
• Hope Counseling Services, Inc.
• Joyce Hopkins, PH.D.
• Kiarah Janae Horn, PA-C
• Tonja Horn, L.C.S.W.

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, 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 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.