Individual provider Active NPI

Denise Casey, PSYD

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1629088489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005803 Issued in IL
Practice address
1610 Luther LN
Park Ridge, IL 60068-1243
Phone
(847) 795-3143
Fax
(847) 823-9222
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

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
Clinical Psychologist 103TC0700X 071-005803 IL Primary

Addresses

Primary practice location

1610 Luther LN
Park Ridge, IL 60068-1243

Mailing address

432 Brookmont LN
North Barrington, IL 60010-2106
Phone (847) 382-6393

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
I20090414000071 IL Practitioner - Clinical Psychologist 4385791144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barrington Behavioral Health and Wellness PCGroup PAC ID 6608099163, 11 clinicians

Practice addresses (Care Compare)

1242 W Northwest Hwy
Suite 6
Palatine, IL 60067-1897
Phone (888) 261-2178

795 Ela Rd
Suite 216
Lake Zurich, IL 60047-6307
Phone (888) 261-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005803ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Behavioral Health & Wellness PC CurrentSince Mar 26, 2014 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Aspen Behavioral Care Clinical PastSince Jul 31, 2013 Accepting new patients
VCC Counseling, Inc. Clinical PastSince Jul 1, 2015 Accepting new patients

Locations

290 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-2454

290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178

1242 W Northwest Hwy
Ste 6
Palatine, IL 60067

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629088489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BROOKMONT LN",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600102106",
            "telephone_number": "847-382-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 LUTHER LN",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681243",
            "telephone_number": "847-795-3143",
            "fax_number": "847-823-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "DENISE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.