Individual provider Active NPI

Donald Roy Catherall, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1790999225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
20 N Wacker Dr
Suite 3117
Chicago, IL 60606-2806
Phone
(312) 263-0446
Fax
(312) 263-0477
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

20 N Wacker Dr
Suite 3117
Chicago, IL 60606-2806

Mailing address

20 N Wacker Dr
Suite 3117
Chicago, IL 60606-2806
Phone (312) 263-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 9, 2018 through Aug 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-003341ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790999225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR",
            "address_2": "SUITE 3117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "312-263-0446",
            "fax_number": "312-263-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR",
            "address_2": "SUITE 3117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "312-263-0446",
            "fax_number": "312-263-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHERALL",
        "first_name": "DONALD",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.