Organization Active NPI

Danielle Principato

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1346610706
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008352 Issued in IL
Legal business name
DANIELLE PRINCIPATO
Practice address
715 Lake St
Ste 716
Oak Park, IL 60301-1422
Phone
(630) 481-7706
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Danielle Principato, PSY.D.
Title
Clinical Psychologist
Phone
(630) 481-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.008352 IL Primary

Addresses

Primary practice location

715 Lake St
Ste 716
Oak Park, IL 60301-1422

Mailing address

715 Lake St
Ste 716
Oak Park, IL 60301-1422
Phone (630) 481-7706

National Provider Directory

National Provider Directory

Locations

715 Lake St
Ste 716
Oak Park, IL 60301
Phone (630) 481-7706

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1346610706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "STE 716",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011422",
            "telephone_number": "630-481-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "STE 716",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011422",
            "telephone_number": "630-481-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE PRINCIPATO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "PRINCIPATO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-481-7706",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.