Active NPI
Carnell A. Colebrook-Claude, PHD, NCC, LPCC, LSOE
- Clinical Neuropsychologist
- Chicago, IL
National Provider Identifier
1518405877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 1449 S Michigan Ave Ste 13127
Chicago, IL 60605-2810 - Phone
- (954) 686-2020
- Fax
- (954) 604-6506
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | |||
| Forensic Psychologist | 103TF0200X | |||
| Health Psychologist | 103TH0004X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Psychoanalysis Psychologist | 103TP0814X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Professional Counselor | 101YP2500X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Mental Health Counselor | 101YM0800X | |||
| Exercise & Sports Psychologist | 103TE1100X | |||
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
1449 S Michigan Ave Ste 13127
Chicago, IL 60605-2810
Mailing address
1449 S Michigan Ave Ste 13127
Chicago, IL 60605-2810
Phone (954) 686-2020
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)
- Enrolled
- Credentials
- Bachelor of Arts, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1518405877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 S MICHIGAN AVE STE 13127",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052810",
"telephone_number": "954-686-2020",
"fax_number": "954-604-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 S MICHIGAN AVE STE 13127",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052810",
"telephone_number": "954-686-2020",
"fax_number": "954-604-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEBROOK-CLAUDE",
"first_name": "CARNELL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD, NCC, LPCC, LSOE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.