Organization Active NPI

Carol Paxton Cox Psy D PC

  • Clinical Psychologist
  • Grayslake, IL
National Provider Identifier
1629392808
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006939 Issued in IL
Legal business name
CAROL PAXTON COX PSY D PC
Practice address
205 Commerce Dr Ste C
Grayslake, IL 60030-1646
Phone
(847) 309-2422
Fax
(847) 548-6671
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Carol P. Cox, PSY.D.NPI 1225154982
Title
President
Phone
(847) 309-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071006939 IL
Cognitive & Behavioral Psychologist 103TB0200X 071006939 IL
Clinical Psychologist 103TC0700X 071006939 IL Primary
Clinical Child & Adolescent Psychologist 103TC2200X 071006939 IL
Family Psychologist 103TF0000X 071006939 IL
Group Psychotherapy Psychologist 103TP2701X 071006939 IL
Health Psychologist 103TH0004X 071006939 IL

Addresses

Primary practice location

205 Commerce Dr Ste C
Grayslake, IL 60030-1646

Mailing address

205 Commerce Dr Ste C
Grayslake, IL 60030-1646
Phone (847) 309-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000409 IL Part B Supplier - Clinic/Group Practice 8820271919 Receives reassigned benefits from 1 practitioner
Practice locations: Grayslake, IL

National Provider Directory

National Provider Directory

Locations

205 Commerce Dr
Ste C
Grayslake, IL 60030
Phone (847) 309-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1629392808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COMMERCE DR STE C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301646",
            "telephone_number": "847-309-2422",
            "fax_number": "847-548-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COMMERCE DR STE C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301646",
            "telephone_number": "847-309-2422",
            "fax_number": "847-548-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL PAXTON COX PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-309-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006939",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071006939",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006939",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071006939",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "IL",
            "license": "071006939",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IL",
            "license": "071006939",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IL",
            "license": "071006939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.