Sean Cass Terry, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007347 Issued in IL

Practice address

800 E Northwest Hwy Ste 106B
Mount Prospect, IL 60056-3457

Phone

(847) 867-7924

Fax

(847) 299-4952

NPI assigned

Aug 9, 2006

Last updated

Dec 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

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• Dr. Jackie Jiang Counseling & Evaluation, LLC

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  NPD (past)
• McCollum Psychology, PC

  • Psychologist
  • Moline, IL
  • NPI 1275616484
  NPD (past)
• Vera French Community Mental Health

  dba Vera French Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davenport, IA
  • NPI 1245291129
  NPD (past)
• Vera French Community Mental Health

  dba Vera French Clinic at Duck Creek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1568239978
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1487665311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 CHATEAU KNLS",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223413",
            "telephone_number": "563-459-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 106B",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "847-867-7924",
            "fax_number": "847-299-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SEAN",
        "middle_name": "CASS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001160",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IL",
            "license": "071007347",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001160",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Tanna, MD
• Kathryn Bernadette Tax, DPT
• Paige Nicole Taylor
• Clara Teall, MT-BC, NMT
• Katarzyna Wilhelm Terracciano, CCC-SLP
• Douglas A Tesnow, L.P.C.
• Hardik M Thakkar, PHARM.D
• Jorly Thariath
• The Eye Site of Illinois, LLC
• The Sensory Loft LLC (The Sensory Loft)

• Clinical Psychologist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.