Donna Cotton, PSYD, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180006593 Issued in IL

Legal business name

DONNA COTTON, PSYD, LLC

Practice address

101 Madison St
#401
Oak Park, IL 60302-4278

Phone

(708) 386-1253

Fax

(708) 383-3702

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Donna Lee Cotton-Cornelius, PSYD

Title

President

Phone

(708) 386-1253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1407117633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MADISON ST",
            "address_2": "#401",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024278",
            "telephone_number": "708-386-1253",
            "fax_number": "708-383-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON ST",
            "address_2": "#401",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024278",
            "telephone_number": "708-386-1253",
            "fax_number": "708-383-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA COTTON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "COTTON-CORNELIUS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-386-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180006593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.