Active NPI
Desrie Dawn Farley, M.A.E.D., ED.S.
- School Psychologist
- West Frankfort, IL
National Provider Identifier
1417468406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2543888
- Practice address
- 508 East Main
West Frankfort, IL 62896 - Phone
- (618) 932-6079
- Fax
- (618) 932-6836
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2543888 | IL | Primary |
Addresses
Primary practice location
508 East Main
West Frankfort, IL 62896
Mailing address
900 North Cherry Street
West Frankfort, IL 62896
Phone (618) 937-2421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2543888 | IL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Frankfort Cu Dist 168 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- West Frankfort, IL
- NPI 1629109871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1417468406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NORTH CHERRY STREET",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "62896",
"telephone_number": "618-937-2421",
"fax_number": "618-932-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 EAST MAIN",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "62896",
"telephone_number": "618-932-6079",
"fax_number": "618-932-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "DESRIE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "M.A.E.D., ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2543888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.