Caroline Passalino

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12153242 Issued in IL

Practice address

4908 N Elston Ave
Chicago, IL 60630-2506

Phone

(773) 205-8505

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

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)

Not enrolled

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.

• Action Behavior Centers Therapy LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1699475509
  NPD (past)

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1740803352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SKYLARK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272380",
            "telephone_number": "540-922-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302506",
            "telephone_number": "773-205-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6860 N Frontage Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605277828",
            "country_code": "US",
            "telephone_number": "331-210-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3341 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223145219",
            "country_code": "US",
            "telephone_number": "703-870-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSALINO",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "12153242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Paskvan, D.P.T.
• Michael Paskvan, O.D.
• Jamie Pasquale, PSY.D.
• Mary Pasquinelli, APN
• Susan Pass, APRN, CRNA
• Sophia Rose Passaro
• Holly Margaret Passi, PSYD
• Varun Raj Passi, MBBS
• Passion Caregiving Services LLC
• Passion Mobile Sticks

• Behavior Analyst in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.