John L Farrell, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003240 Issued in IL

Practice address

2024 Hickory Rd
Ste 103
Homewood, IL 60430-2158

Phone

(708) 957-3662

Fax

(708) 957-3695

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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

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, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associates in Clinical Psychology and Substance Abuse PC,Group PAC ID 7416905062, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Associates in Clinical Psychology & Substance Abuse PC

  • Clinical Psychologist
  • Homewood, IL
  • NPI 1194827238
  Medicare reassignment Care Compare group NPD Authorized official
• Francenter

  • Psychologist
  • Darien, IL
  • NPI 1598886574
  NPD (past)
• Harvey Martin & Associates Inc.

  • Clinical Psychologist
  • Frankfort, IL
  • NPI 1912030735
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1386746501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 103",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-957-3695",
            "fax_number": "708-957-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 103",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-957-3662",
            "fax_number": "708-957-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kecia Evans, LCPC, CADC
• Eyecare Associates, LTD.
• Family Chiropractic Health Clinic
• Bonnie Jo Fanelli, M.S., CCC/SLP
• Lana Faraj, PHARM.D
• Karen E Farrell, PSY.D.
• Favor Medical Supplies & Transportation Services Inc
• Jocelyn L Faydenko, DC
• Naomi Michelle Fenton
• Field Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.