Johanna G Macariola, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006620 Issued in IL

Practice address

304 N Larch Ave
Elmhurst, IL 60126-2312

Phone

(773) 580-7533

NPI assigned

Nov 7, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1760199095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N LARCH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262312",
            "telephone_number": "773-580-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N LARCH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262312",
            "telephone_number": "773-580-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARIOLA",
        "first_name": "JOHANNA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jogmac73@icloud.com",
            "affiliation": "N",
            "address_1": "304 N Larch Ave",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601262312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick J Lynch, MD
• M Lauck SC
• M McNeill DPM Incorporated
• Karen Hsia Ma, MD, PHARMD
• Justin R. Macariola-Coad, MD
• Roger A Macduff, D O
• Kristin Elizabeth Machuta
• Katheryn Madden
• Brooke Madera
• Shannon Marie Madonia, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.