Douglas Neal Craig II, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007815 Issued in IL

Practice address

1800 Nations Dr
Suite 208
Gurnee, IL 60031-9168

Phone

(773) 456-3156

NPI assigned

Jul 26, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: douglas.craig.1@12576.direct.athenahealth.com

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.

• Craig Castro Psychological Services, LLC

  • Psychologist
  • Gurnee, IL
  • NPI 1235551060
  NPD (past) Authorized official

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1447563903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7N699 WAGONTIRE RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756620",
            "telephone_number": "773-456-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR",
            "address_2": "SUITE 208",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319168",
            "telephone_number": "773-456-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "DOUGLAS",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Cornejo
• Cornerstone Caregiving East LLC
• Maria Fe Corpuz-Bato, D.M.D.
• Sarah Anne Coughlin, APRN
• Craig Castro Psychological Services, LLC
• Elizabeth Vera Craig, MD
• Brandy Wolff Crandall, PH.D.
• Cranial Technologies, Inc.
• James R Crawford, O.D.
• Kari Crawford, D.C.

• Clinical Psychologist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.