Organization Active NPI

Institute for Psychological Services PC

  • Psychologist
  • Oak Brook, IL
National Provider Identifier
1720203433
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
060.005608 Issued in IL
Legal business name
INSTITUTE FOR PSYCHOLOGICAL SERVICES PC
Practice address
1010 Jorie Blvd Ste 356
Oak Brook, IL 60523-4478
Phone
(630) 990-5981
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Dr. James Carger, PH.D.NPI 1720195456
Title
President
Phone
(630) 990-5981

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 060.005608 IL Primary

Addresses

Primary practice location

1010 Jorie Blvd Ste 356
Oak Brook, IL 60523-4478

Mailing address

1010 Jorie Blvd Ste 356
Oak Brook, IL 60523-4478
Phone (630) 990-5981

Other names 1

  • IPS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000601 IL Part B Supplier - Clinic/Group Practice 3173602760 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

1010 Jorie Blvd
Ste 356
Oak Brook, IL 60523
Phone (630) 990-5981

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1720203433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 356",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234478",
            "telephone_number": "630-990-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 356",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234478",
            "telephone_number": "630-990-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "CARGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-990-5981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "060.005608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.