Individual provider Active NPI

Carrie Lynn Steiner, PSY.D.

  • Clinical Psychologist
  • Lombard, IL
National Provider Identifier
1528333408
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008311 Issued in IL
Practice address
477 E Butterfield Rd
Suite 204
Lombard, IL 60148-5618
Phone
(630) 909-9094
Fax
(630) 597-2583
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008311 IL Primary
Cognitive & Behavioral Psychologist 103TB0200X 071008311 IL
Intellectual & Developmental Disabilities Psychologist 103TM1800X 071008311 IL

Addresses

Primary practice location

477 E Butterfield Rd
Suite 204
Lombard, IL 60148-5618

Mailing address

477 E Butterfield Rd
Suite 204
Lombard, IL 60148-5618
Phone (630) 909-9094

Other identifiers 1

IdentifierTypeStateIssuer
F300208691OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120710000048 IL Practitioner - Clinical Psychologist 7719142157 Reassigns benefits to 1 organization
Practice locations: Lombard, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Responders Wellness Center LLCGroup PAC ID 1759778228, 3 clinicians

Practice addresses (Care Compare)

477 E Butterfield Rd
Suite 408
Lombard, IL 60148-4881
Phone (630) 909-9094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Responders Wellness Center, PLLC Clinical CurrentSince Jan 1, 2020 Accepting new patients

Locations

1412 W Washington Blvd
Fl 2
Chicago, IL 60607

100 Tri State Intl
Ste 260
Lincolnshire, IL 60069

477 E Butterfield Rd
Ste 408
Lombard, IL 60148
Phone (630) 339-5300

477 E Butterfield Rd
Ste 204
Lombard, IL 60148
Phone (630) 909-9094

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1528333408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD",
            "address_2": "SUITE 204",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-909-9094",
            "fax_number": "630-597-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD",
            "address_2": "SUITE 204",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-909-9094",
            "fax_number": "630-597-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008311",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071008311",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IL",
            "license": "071008311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F300208691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.