Carlen Anne Roeschley, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1847773 Issued in IL

Practice address

1050 S 4TH Ave
Morton, IL 61550-2526

Phone

(309) 263-0522

Fax

(309) 284-8015

NPI assigned

Dec 29, 2017

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

Other names 1

• Carlen Roeschley Owens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1356858310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S 4TH AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502526",
            "telephone_number": "309-263-0522",
            "fax_number": "309-284-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S 4TH AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502526",
            "telephone_number": "309-263-0522",
            "fax_number": "309-284-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESCHLEY",
        "first_name": "CARLEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1847773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEN",
            "last_name": "OWENS",
            "middle_name": "ROESCHLEY",
            "credential": "ED.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis Rezac, DDS
• Robert Eugene Richardson, D.C
• Steven J Richter, BS
• Kristin Rinkenberger, MA, LCPC
• Meghan Lynn Roath
• Ronald J. Flanigan DDS, PC
• Julie Roth, LCPC
• Matthew Rupiper, PT
• Saint Johns Hospital
• Danielle Schenkel, LCPC

• School Psychologist in Morton, IL
• Providers in Morton, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.