Carol Ann Conrad III, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.011231 Issued in IL

Practice address

680 S Warsaw St
Nauvoo, IL 62354-1311

Phone

(208) 591-8338

NPI assigned

Aug 30, 2006

Last updated

Jun 9, 2026By the provider in NPPES

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

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1760592067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S WARSAW ST",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "623541311",
            "telephone_number": "208-591-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S WARSAW ST",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "623541311",
            "telephone_number": "208-591-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.011231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne A Brooks, SSP
• Lauren Carlisle
• Thomas Earl Grant Jr., D.C.
• Luann Haas
• Mattie Ann Haas, PHARMD
• Julie Herbstrith, PH.D.
• Ruth Kelly, PHD

• Psychologist in Nauvoo, IL
• Providers in Nauvoo, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.