Individual provider Active NPI

Constance Marie May, PSYD

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1568071884
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010539 Issued in IL
Practice address
32 Main St Ste D
Park Ridge, IL 60068-4060
Phone
(847) 823-4444
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X IL
Clinical Psychologist 103TC0700X 071.010539 IL Primary

Addresses

Primary practice location

32 Main St Ste D
Park Ridge, IL 60068-4060

Mailing address

1506 E Fremont St
Arlington Heights, IL 60004-6431
Phone (847) 373-3011

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
I20240709003660 IL Practitioner - Clinical Psychologist 4688119134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael J Athans PHD and Associates LTDGroup PAC ID 3678590429, 3 clinicians

Practice addresses (Care Compare)

32 Main St
Suite D
Park Ridge, IL 60068-4060
Phone (847) 823-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.010539ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Athans, PH.D. and Associates, LTD. Clinical CurrentSince Jun 24, 2024 Accepting new patients

Locations

32 Main St
Ste D
Park Ridge, IL 60068
Phone (847) 823-4444

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1568071884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E FREMONT ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046431",
            "telephone_number": "847-373-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST STE D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684060",
            "telephone_number": "847-823-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "CONSTANCE",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.