Active NPI
Allison Jane Carroll, PHD
- Health Psychologist
- Chicago, IL
National Provider Identifier
1659990943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- 071.010174
- Practice address
- 333 E Ontario St Apt 4401B
Chicago, IL 60611-8104 - Phone
- (312) 620-2252
- NPI assigned
- Apr 16, 2020
- Last updated
- Apr 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 071.010174 | IL | Primary |
Addresses
Primary practice location
333 E Ontario St Apt 4401B
Chicago, IL 60611-8104
Mailing address
3900 N Pine Grove Ave Apt 301
Chicago, IL 60613-5551
Phone (312) 620-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010174 | IL | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1659990943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 N PINE GROVE AVE APT 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135551",
"telephone_number": "312-620-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E ONTARIO ST APT 4401B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606118104",
"telephone_number": "312-620-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "ALLISON",
"middle_name": "JANE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-16",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "IL",
"license": "071.010174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.