Dr Cheryl Scallon PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR CHERYL SCALLON PC

Practice address

9631 W 153Rd St
Ste 38
Orland Park, IL 60462-3774

Phone

(708) 460-0235

Fax

(708) 460-7563

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Scallon, PSY.D.NPI 1699889089

Title

Owner

Phone

(708) 460-0235

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Scallon, PSY.D.

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1699889089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336274034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 W 153RD ST",
            "address_2": "STE 38",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623774",
            "telephone_number": "708-460-0235",
            "fax_number": "708-460-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 W 153RD ST",
            "address_2": "STE 38",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623774",
            "telephone_number": "708-460-0235",
            "fax_number": "708-460-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHERYL SCALLON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCALLON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-460-0235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "016-26201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott O Donnelly, DO
• Courtney Doornbos, M.ED, BCBA
• Mayank Y Doshi, MD
• Brandon Douglas
• Scorpia Doyle, FNP
• Dr George G Pappas & Associates LTD
• Dr James a Kline MD PC
• Dr Jerry Chow MD LTD (Hand Therapy Division)
• Dr Matthew E Schmidt & Associates Ophthalmologists S.C.
• Dr. Amy Suszko Brown

• Clinical Psychologist in Orland Park, IL
• Providers in Orland 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.