NPIMap

Organization Active NPI

Joliet Center for Clinical Research, Inc

  • Psychiatry Physician
  • Joliet, IL
National Provider Identifier
1760647226
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOLIET CENTER FOR CLINICAL RESEARCH, INC
Practice address
210 N Hammes Ave Ste 205
Joliet, IL 60435-8139
Phone
(815) 729-7790
Fax
(815) 725-8144
NPI assigned
Jul 24, 2008
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Diane L Harris
Title
Office Manager
Phone
(815) 729-7790

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
Professional Counselor 101YP2500X
Clinical Psychologist 103TC0700X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

210 N Hammes Ave Ste 205
Joliet, IL 60435-8139

Mailing address

210 N Hammes Ave Ste 205
Joliet, IL 60435-8139
Phone (815) 729-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081106000558 IL Part B Supplier - Clinic/Group Practice 3971662842 Receives reassigned benefits from 14 practitioners
Practice locations: Joliet, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1760647226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-729-7790",
            "fax_number": "815-725-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-729-7790",
            "fax_number": "815-725-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET CENTER FOR CLINICAL RESEARCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-729-7790"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.