Rita Corley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004121 Issued in IL

Practice address

1580 N Northwest Hwy
121-D
Park Ridge, IL 60068-1444

Phone

(847) 297-5848

Fax

(773) 549-7311

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Rita Corley-Baker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1629178413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W WELLINGTON AVE",
            "address_2": "18A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575651",
            "telephone_number": "773-549-0641",
            "fax_number": "773-549-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "121-D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-297-5848",
            "fax_number": "773-549-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004121",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "CORLEY-BAKER",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caterina Coppola
• Tara Funk Corcoran, MD
• Paige Brouillette Corder, LPC
• Ajimie Cordon, NP
• Shelby Coren, M.S., CCC-SLP
• Laura Patricia Corona Candelario, M.D.
• Justirini D Corpuz, DPT
• Duvia Correa
• Charlene Jurado Cortez, PT, DPT
• John M Cottrell, DO

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.