Deanna Lyn Conklin-Danao, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006438 Issued in IL

Practice address

7101 N Cicero Ave
Suite 203
Lincolnwood, IL 60712-2112

Phone

(312) 493-2628

Fax

(847) 983-4783

NPI assigned

Jan 30, 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

Other identifiers 1

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1346387487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122112",
            "telephone_number": "312-493-2628",
            "fax_number": "847-983-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122112",
            "telephone_number": "312-493-2628",
            "fax_number": "847-983-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN-DANAO",
        "first_name": "DEANNA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PPO PROVIDER",
            "identifier": "1636778",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concerto Connecticut LLC
• Concerto Dialysis LLC
• Concerto Home Dialysis LLC
• Concerto Kentucky LLC
• Antoaneta L. Condurat
• Hope Conyers
• Susan Lynne Coopersmith, R.D., L.D.N
• Coral Hearts Home Health Care Inc.
• Coral Hearts Home Health Care Inc.
• Cordeiro Clinical Psychology & Consulting PLLC

• Clinical Psychologist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.