Catherine Dean, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071006447 Issued in IL

Practice address

350 E Congress Pkwy
Suite L
Crystal Lake, IL 60014-6284

Phone

(815) 355-4292

Fax

(815) 356-7139

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Creative Psychological Solutions LLC

  • Psychologist
  • Crystal Lake, IL
  • NPI 1679719652
  NPD (past) Authorized official

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1356340616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MEADOW DR",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "601124226",
            "telephone_number": "815-355-4292",
            "fax_number": "815-356-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E CONGRESS PKWY",
            "address_2": "SUITE L",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146284",
            "telephone_number": "815-355-4292",
            "fax_number": "815-356-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Leigh Davidson, BA, DT
• Elijah Davidson
• Seir Fen Davidson, PHARMD
• Ryan James Davis, LMFT, ATR
• DCP of Illinois - Crystal Lake
• Linda Deanda
• Julia Deatherage
• Debra K.Hirschberg and Associates, Inc.
• Stacy Decristofaro, DT
• Cara Irene Defrisco

• Psychologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.