Carolynne R. Funk, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006261 Issued in IL

Practice address

3250 N Arlington Heights Rd Ste 112
Arlington Heights, IL 60004-1500

Phone

(847) 962-1484

Fax

(847) 368-0764

NPI assigned

Nov 28, 2006

Sex

Female

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427124635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N ARLINGTON HEIGHTS RD STE 112",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041500",
            "telephone_number": "847-962-1484",
            "fax_number": "847-368-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N ARLINGTON HEIGHTS RD STE 112",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041500",
            "telephone_number": "847-962-1484",
            "fax_number": "847-368-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "CAROLYNNE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Fudala, LCPC
• Melanie B Fukui, MD
• Annette M. Fuller, PMPNP-BC, MSN, CNL
• Lauren Fuller
• Alexandra Carrington Fulreader, DDS
• Jessica L Funk, PSYD
• G and a Clinics
• G. Leone, M.D., S.C.
• Cherry May Gabuyo
• Clara Gagnon

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.