Individual provider Active NPI

Catherine D. Pines, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1760556153
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003481 Issued in IL
Practice address
3334 N Lakewood Ave
Chicago, IL 60657-1441
Phone
(773) 255-5482
Fax
(773) 787-1343
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071003481 IL Primary

Addresses

Primary practice location

3334 N Lakewood Ave
Chicago, IL 60657-1441

Mailing address

3334 N Lakewood Ave
Chicago, IL 60657-1441
Phone (773) 255-5482

Other identifiers 1

IdentifierTypeStateIssuer
0001673170OtherILBCBS PROVIDER #

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220504002246 IL Practitioner - Clinical Psychologist 2163819475 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3334 N Lakewood Ave
Chicago, IL 60657-1441
Phone (773) 255-5482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071003481ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1760556153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 N LAKEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571441",
            "telephone_number": "773-255-5482",
            "fax_number": "773-787-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N LAKEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571441",
            "telephone_number": "773-255-5482",
            "fax_number": "773-787-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINES",
        "first_name": "CATHERINE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0001673170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.