Individual provider Active NPI

Nicholas Francis O'Riordan, PH. D.

  • Psychologist
  • Plainfield, IL
National Provider Identifier
1497859078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1705 Sierra Highlands CT
Plainfield, IL 60586-5934
Phone
(815) 254-4555
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IL Primary

Addresses

Primary practice location

1705 Sierra Highlands CT
Plainfield, IL 60586-5934

Mailing address

1705 Sierra Highlands CT
Plainfield, IL 60586-5934
Phone (815) 254-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050622001317 IL Practitioner - Clinical Psychologist 7315982063 Practice locations: Chicago, IL
I20170329000328 IN Practitioner - Clinical Psychologist 7315982063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-America Psychological and Counseling Service PCGroup PAC ID 7416082086, 6 clinicians

Practice addresses (Care Compare)

7725 Broadway
Suite a
Merrillville, IN 46410-4787
Phone (219) 736-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-003652ILMDPsychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497859078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SIERRA HIGHLANDS CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865934",
            "telephone_number": "815-254-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SIERRA HIGHLANDS CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865934",
            "telephone_number": "815-254-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'RIORDAN",
        "first_name": "NICHOLAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.