Andrew B Mouton, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004325 Issued in IL

Practice address

10640 W 165TH Street
Orland Park, IL 60467-5653

Phone

(708) 364-0261

Fax

(708) 364-6019

NPI assigned

May 30, 2006

Last updated

May 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sigma Health PC

  • Neurology Physician
  • Orland Park, IL
  • NPI 1720035843

  Clinical

  Medicare reassignment NPD Authorized official
• Advanced Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Glenview, IL
  • NPI 1164754644
  NPD (past) Authorized official
• Advanced Health Services, Inc.

  • Customized Equipment (DME)
  • Libertyville, IL
  • NPI 1407914153
  Authorized official Same address or phone
• Associates in Sleep Medicine LLC

  dba The Center for Sleep Medicine

  • Neurology Physician
  • Orland Park, IL
  • NPI 1205883758
  Authorized official Same address or phone
• Advanced Health Services, Inc.

  • Customized Equipment (DME)
  • Chicago, IL
  • NPI 1447318191
  NPD (past)
• Advanced Health Services, Inc.

  dba Advanced Health

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
  • NPI 1922050434
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1477500825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 W 165TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675653",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 W 165TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675653",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "ANDREW",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Morrissey, PT
• Tracey Mose, PT
• Gail Patricia Mosey, ST
• Motivated OT Mama PLLC
• Christine Marie Motsch, DMD
• Cathy Denise Moynihan, DNP-FNP-BC-CDE
• Magdalena Mroczka, PTA
• Audrey Mrozckowski, PTA
• Melissa A Muchowicz, LCPC
• Amyra H Muhammad, PHARMD

• Clinical Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.