Individual provider Active NPI

Patricia Rose Francis, PSY.D.

  • Clinical Psychologist
  • Carol Stream, IL
National Provider Identifier
1629126750
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006372 Issued in IL
Practice address
507 Thornhill Dr Ste a
Carol Stream, IL 60188-2706
Phone
(630) 752-9750
Fax
(630) 752-9768
NPI assigned
Jan 8, 2007
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 071.006372 IL Primary

Addresses

Primary practice location

507 Thornhill Dr Ste a
Carol Stream, IL 60188-2706

Mailing address

507 Thornhill Dr Ste a
Carol Stream, IL 60188-2706
Phone (630) 752-9750

Other identifiers 1

IdentifierTypeStateIssuer
R01171OtherILMEDICARE CMS

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
I20080910000293 IL Practitioner - Clinical Psychologist 6406922756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Pastoral Counseling CenterGroup PAC ID 2769429950, 4 clinicians

Practice addresses (Care Compare)

507 Thornhill Dr
Suite a
Carol Stream, IL 60188-2706
Phone 630752975013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.006372ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Pastoral Counseling Center Clinical CurrentSince Jan 1, 2008 Accepting new patients

Locations

507 Thornhill Dr
Carol Stream, IL 60188
Phone (630) 752-9750

507 Thornhill Dr
Ste A
Carol Stream, IL 60188
Phone (630) 752-9750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1629126750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 THORNHILL DR STE A",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882706",
            "telephone_number": "630-752-9750",
            "fax_number": "630-752-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 THORNHILL DR STE A",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882706",
            "telephone_number": "630-752-9750",
            "fax_number": "630-752-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "PATRICIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CMS",
            "identifier": "R01171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.