Individual provider Active NPI

Ronald Edward McCaslin Jr., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1346016409
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.028863 Issued in IL
Practice address
1812 Clarence Rd
Joliet, IL 60431-7827
Phone
(815) 665-5091
Fax
(815) 205-4039
NPI assigned
Nov 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.028863 IL Primary

Addresses

Primary practice location

1812 Clarence Rd
Joliet, IL 60431-7827

Mailing address

1812 Clarence Rd
Joliet, IL 60431-7827
Phone (815) 665-5091

Other practice location 1

2600 S Michigan Ave Ste 305
Chicago, IL 60616-2857
Phone (312) 371-7951

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206001649 IL Practitioner - Nurse Practitioner 1658850912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Medico PLLCGroup PAC ID 9830508951, 7 clinicians

Practice addresses (Care Compare)

2600 S Michigan Ave
Suite 305
Chicago, IL 60616-2857
Phone (312) 371-7951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.028863ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medico PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1431 N Western Ave
Ste 201
Chicago, IL 60622
Phone (773) 276-6443

3201 S Wallace St
Chicago, IL 60616
Phone (312) 326-1615

2600 S Michigan Ave
Ste 305
Chicago, IL 60616
Phone (312) 326-4500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1346016409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CLARENCE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317827",
            "telephone_number": "815-665-5091",
            "fax_number": "815-205-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 CLARENCE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317827",
            "telephone_number": "815-665-5091",
            "fax_number": "815-205-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 S Michigan Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606162857",
            "country_code": "US",
            "telephone_number": "312-371-7951",
            "fax_number": "312-624-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCASLIN",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.028863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.