Karla C D McNamara

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071.002083 Issued in IL

Practice address

6502 Joliet Rd
Countryside, IL 60525-4682

Phone

(708) 215-8400

NPI assigned

Feb 14, 2013

Last updated

Feb 14, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Forest Psychological Service

  • Clinical Psychologist
  • Countryside, IL
  • NPI 1265487060
  NPD (past)

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1790025542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MCCARTNEY LN",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150052827",
            "telephone_number": "724-933-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254682",
            "telephone_number": "708-215-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "KARLA",
        "middle_name": "C D",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.002083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12496434",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mastela, LSW
• Daniel May, RPH
• Angela Terese McCombs, OTR/L
• Kelly McKay
• Daniela J McMillen
• Angela Mendoza, BA
• Mfbstudio Inc (MFB Therapy)
• Maureen Michalski, MPT, DPT
• Midwest Family Physicians LTD
• Midwest Operating Engineers Health and Welfare Trust Fund

• Clinical Neuropsychologist in Countryside, IL
• Providers in Countryside, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.