Individual provider Active NPI

Caitlin McIlwee, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1730457078
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009745 Issued in IL
Practice address
1300 W Belmont Ave Ste 514
Chicago, IL 60657-3200
Phone
(773) 217-9790
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 071.009745 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave Ste 514
Chicago, IL 60657-3200

Mailing address

1300 W Belmont Ave Ste 514
Chicago, IL 60657-3200
Phone (773) 217-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 9, 2018 through Mar 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.009745ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Behavioral Health, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Jewish Child and Family Services Past Accepting new patients
Jewish Child and Family Services PastSince Mar 13, 2013 Accepting new patients

Locations

1300 W Belmont Ave
Ste 514
Chicago, IL 60657
Phone (331) 271-6652

1300 W Belmont Ave
Ste 507
Chicago, IL 60657
Phone (902) 606-7907

5113 S Harper Ave
Ste 2C
Chicago, IL 60615
Phone (312) 820-4663

Organizations & group practices 3

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1730457078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-217-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-217-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWEE",
        "first_name": "CAITLIN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.