Susan G. McCracken, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071002723 Issued in IL

Practice address

1480 N Northwest Hwy
Suite 205
Park Ridge, IL 60068-1322

Phone

(815) 735-9540

Fax

(773) 926-0938

NPI assigned

Aug 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgemiller, Whyte & Associates, PC

  • Clinical Psychologist
  • Mount Prospect, IL
  • NPI 1912984774
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364688000000",
    "number": "1699881656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 N NORTHWEST HWY",
            "address_2": "SUITE 205",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681322",
            "telephone_number": "815-735-9540",
            "fax_number": "773-926-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N NORTHWEST HWY",
            "address_2": "SUITE 205",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681322",
            "telephone_number": "815-735-9540",
            "fax_number": "773-926-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "SUSAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071002723",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002723",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071002723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclynn McCarvill
• Anthony T McCormack, M.D.
• Sean McCormack
• Angela C McCormick, MD
• Erin Alma McCormick
• Brian Peter McCulloch, M.D.
• Andrew J McDonald, MD
• Maxie I McDonough, MD
• Alece M McFadden, LSW
• John C. McFadden, M.D.

• 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 Mar 31, 2013; 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.