Individual provider Active NPI

Cheryl Scallon, PSY.D.

  • Clinical Psychologist
  • Orland Park, IL
National Provider Identifier
1699889089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
9631 W 153Rd St
#38
Orland Park, IL 60462-3774
Phone
(708) 460-0235
Fax
(305) 425-0235
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

9631 W 153Rd St
#38
Orland Park, IL 60462-3774

Mailing address

9631 W 153Rd St
#38
Orland Park, IL 60462-3774
Phone (708) 460-0235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000418 IL Practitioner - Clinical Psychologist 6204738479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9631 W 153Rd St
Suite 38
Orland Park, IL 60462-3778
Phone (708) 460-0235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-006073ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Cheryl Scallon PC Clinical CurrentSince May 8, 2002 Accepting new patients

Locations

9631 W 153rd St
Ste 38
Orland Park, IL 60462
Phone (708) 460-0235

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699889089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 W 153RD ST",
            "address_2": "#38",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623774",
            "telephone_number": "708-460-0235",
            "fax_number": "305-425-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 W 153RD ST",
            "address_2": "#38",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623774",
            "telephone_number": "708-460-0235",
            "fax_number": "305-425-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLON",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.