Thomas J Cahill PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0712048 Issued in IL

Legal business name

THOMAS J CAHILL PHD PC

Practice address

1325 Community Memorial Dr
La Grange, IL 60525-2659

Phone

(708) 245-8940

Fax

(708) 245-5604

NPI assigned

Aug 17, 2007

Organization subpart

No

Name

Thomas J Cahill, PHD

Title

Pres.Psychologist

Phone

(708) 245-8940

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2018.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1710179288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659",
            "telephone_number": "708-245-8940",
            "fax_number": "708-245-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659",
            "telephone_number": "708-245-8940",
            "fax_number": "708-245-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CAHILL PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES.PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-245-8940",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "0712048",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "0712048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.