Organization Active NPI

Lockwood Psychological Services LTD

  • Clinical Psychologist
  • Crystal Lake, IL
National Provider Identifier
1386748796
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006634 Issued in IL
Legal business name
LOCKWOOD PSYCHOLOGICAL SERVICES LTD
Practice address
453 Coventry LN
Suite 103a
Crystal Lake, IL 60014-7504
Phone
(847) 754-1488
Fax
(815) 356-1488
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Rebecca Lynn Lockwood, PHDNPI 1295922482
Title
President
Phone
(847) 754-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071006634 IL Primary

Addresses

Primary practice location

453 Coventry LN
Suite 103a
Crystal Lake, IL 60014-7504

Mailing address

453 Coventry LN
Suite 103a
Crystal Lake, IL 60014-7504
Phone (847) 754-1488

Other names 1

  • Lockwood Psychological Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

453 Coventry Ln
Ste 103A
Crystal Lake, IL 60014
Phone (847) 754-1488

900 Pyott Rd
Ste 104
Crystal Lake, IL 60014
Phone (847) 754-1488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1386748796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COVENTRY LN",
            "address_2": "SUITE 103A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147504",
            "telephone_number": "847-754-1488",
            "fax_number": "815-356-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 COVENTRY LN",
            "address_2": "SUITE 103A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147504",
            "telephone_number": "847-754-1488",
            "fax_number": "815-356-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKWOOD PSYCHOLOGICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-754-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lockwood Psychological Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.