Caryn P Andrews, PSYD
Individual provider Active NPI Clinical Psychologist · McHenry, IL
NPI 1770048282 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1770048282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071.009943 (IL)
- Practice address
- 2507 N Richmond Rd
McHenry, IL 60051-5407 - Phone
- (815) 338-6600
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edgewood Clinical Services P.C.
Practice addresses (Care Compare)
111 Lions Dr
Suite 210
Barrington, IL 60010-3175
Phone (888) 428-7890
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190503001058 | IL | Practitioner - Clinical Psychologist | 9234471665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009943 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Anchor Wellness, LLC | Clinical | Current | Accepting new patients |
Locations
715 E Golf Rd
Ste 200A1
Schaumburg, IL 60173
Phone (708) 807-0184
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009943 | IL | Yes |
Addresses
Primary practice location
2507 N Richmond Rd
McHenry, IL 60051-5407
Mailing address
2507 N Richmond Rd
McHenry, IL 60051-5407
Phone (815) 338-6600
Other practice location 1
715 E Golf Rd Ste 200A1
Schaumburg, IL 60173-4595
Phone (847) 650-9617
Other providers in McHenry, IL
- Mary Kristina Anderson
- Melissa Rose Anderson
- Nathan Thomas Anderson
- Samella Anderson
- Samantha Andrae
- Victoria Isabella Andrzejewski
- Anesthesia Associates of Crystal Valley, S. C.
- Yaneth Angeles Suarez
- Juvenal Angeles
- Karen Lorene Angle
All providers in McHenry, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.