Individual provider Active NPI

Christopher James Higgins, PSYD

  • Psychologist
  • Palos Park, IL
National Provider Identifier
1437269289
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071004443 Issued in IL
Practice address
13011 S 104TH Ave
Suite 200
Palos Park, IL 60464-1500
Phone
(708) 448-3300
Fax
(708) 448-6072
NPI assigned
Aug 30, 2006
Last updated
Aug 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071004443 IL Primary

Addresses

Primary practice location

13011 S 104TH Ave
Suite 200
Palos Park, IL 60464-1500

Mailing address

14412 S 85TH Avenue
Orland Park, IL 60462-2823
Phone (708) 349-6728

Other identifiers 1

IdentifierTypeStateIssuer
01623882OtherILBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040611001020 IL Practitioner - Clinical Psychologist 4183607930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Higgins and Associates PCGroup PAC ID 7416930250, 3 clinicians

Practice addresses (Care Compare)

11800 S 75TH Ave
Palos Heights, IL 60463-1064
Phone (708) 726-6472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071004443ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mira Neuro Behavioral Health Care, LLC CurrentSince Mar 20, 2022 Accepting new patients
Miracare Neuro Behavioral Health, PC Psychologist CurrentSince Jun 11, 2004 Accepting new patients

Locations

11800 S 75th Ave
Fl 3
Palos Heights, IL 60463
Phone (708) 448-3300

11800 S 75th Ave
Ste 300
Palos Heights, IL 60463
Phone (708) 671-8440

7808 W College Dr
Ste 3W
Palos Heights, IL 60463
Phone (219) 301-1090

13011 S 104th Ave
Ste 200
Palos Park, IL 60464
Phone (708) 448-3300

6775 Prosperi Dr
Tinley Park, IL 60477
Phone (708) 429-1260

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1437269289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 S 85TH AVENUE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622823",
            "telephone_number": "708-349-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE",
            "address_2": "SUITE 200",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641500",
            "telephone_number": "708-448-3300",
            "fax_number": "708-448-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01623882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

Verify at the official NPI Registry.