Active NPI
Olivia Murino
- School Psychologist
- Lombard, IL
National Provider Identifier
1467041491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1108030
- Practice address
- 340 S School St
Lombard, IL 60148-3070 - Phone
- (630) 516-7500
- NPI assigned
- Jan 14, 2021
- Last updated
- Jan 14, 2021
- 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 | 1108030 | IL | Primary |
Addresses
Primary practice location
340 S School St
Lombard, IL 60148-3070
Mailing address
93 N Gilbert Ave
La Grange, IL 60525-5850
Phone (708) 744-0245
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 |
|---|---|---|---|
| 1108030 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1467041491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 N GILBERT AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605255850",
"telephone_number": "708-744-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S SCHOOL ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483070",
"telephone_number": "630-516-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURINO",
"first_name": "OLIVIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "1108030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.