Organization Active NPI

Joel D Carnazzo, PSYD

  • Psychologist
  • Barrington, IL
National Provider Identifier
1689061889
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071006420 Issued in IL
Legal business name
JOEL D CARNAZZO, PSYD
Practice address
550 Fox Glen CT
Barrington, IL 60010-1833
Phone
(847) 381-5001
Fax
(847) 381-5059
NPI assigned
Apr 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Joel D Carnazzo, PSYDNPI 1013020452
Title
President
Phone
(847) 381-5001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071006420 IL Primary

Addresses

Primary practice location

550 Fox Glen CT
Barrington, IL 60010-1833

Mailing address

550 Fox Glen CT
Barrington, IL 60010-1833
Phone (847) 381-5001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1689061889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101833",
            "telephone_number": "847-381-5001",
            "fax_number": "847-381-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101833",
            "telephone_number": "847-381-5001",
            "fax_number": "847-381-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL D CARNAZZO, PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "CARNAZZO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-381-5001",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.