Patricia Egan, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007492 Issued in IL

Practice address

1011 Loras Dr
Suite C
Freeport, IL 61032-6900

Phone

(815) 297-8400

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Patricia M Egan and Associates LLC

  • Clinical Psychologist
  • Freeport, IL
  • NPI 1962706077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1750537502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LORAS DR",
            "address_2": "SUITE C",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326900",
            "telephone_number": "815-297-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LORAS DR",
            "address_2": "SUITE C",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326900",
            "telephone_number": "815-297-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "PATRICIA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R. Duke, R.D., L.D.N.
• John Paul Dull, AAS, BS, NBC, BC-HIS
• Tamara Duncan
• Nicole Lynn Duvall, LMT, NCBTMB
• Kati Elizabeth Eden, PTA
• Kenneth L Eichholz Jr., D.D.S.
• Maajid Mohammed Yunus Ekkiswala, M.D.
• Gloria Ann Ennenbach, RN
• Kaitlin Lee Enright
• Maria Chinweze Enujiofor

• Clinical Psychologist in Freeport, IL
• Providers in Freeport, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.