NPIMap

Organization Active NPI

C.L.O. Psychological, Serv.

  • Community/Behavioral Health Agency
  • Dyer, IN
National Provider Identifier
1447629142
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
C.L.O. PSYCHOLOGICAL, SERV.
Practice address
925 Killarney Dr
Dyer, IN 46311-1292
Phone
(773) 618-2231
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Carolyn Louise Owens, PSY.D.NPI 1598820391
Title
Clinical Psychologist/President
Phone
(773) 618-2231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

925 Killarney Dr
Dyer, IN 46311-1292

Mailing address

925 Killarney Dr
Dyer, IN 46311-1292
Phone (773) 618-2231

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1447629142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 KILLARNEY DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111292",
            "telephone_number": "773-618-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 KILLARNEY DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111292",
            "telephone_number": "773-618-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.L.O. PSYCHOLOGICAL, SERV.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "773-618-2231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.