Alan P Childs, M.A., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.004644 Issued in IL

Practice address

9760 S Roberts Rd FL 2
Palos Hills, IL 60465-1686

Phone

(708) 422-2772

Fax

(773) 685-6744

NPI assigned

Jan 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Dr. Alan P. Childs & Associates

  • Psychologist
  • Palos Hills, IL
  • NPI 1205903697
  NPD (past) Authorized official

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1326319161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SAUGANASH LANE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "708-422-2772",
            "fax_number": "773-685-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S ROBERTS RD FL 2",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651686",
            "telephone_number": "708-422-2772",
            "fax_number": "773-685-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ALAN",
        "middle_name": "P",
        "credential": "M.A., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.004644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI  DR. ALAN P. CHILDS AND ASSOCIATES",
            "identifier": "1205903697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Susana Cedeno, LCPC, CCTP, ICDVP
• Jeremy Ceja, EDD
• Nicholas Cervenka
• Chris Edward Chapman, DO
• Chicago Hope and Palliative Healthcare, Inc.
• Jeanne Marie Clemmer, LMSW
• Cognitive Clinic P C
• Janel L Collier
• Felica Connor
• Brenda Copeland, CADC, CAMSII

• Clinical Psychologist in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.