Psychone PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

060-006541 Issued in IL

Legal business name

PSYCHONE PC

Practice address

130 Harrison St
Barrington, IL 60010

Phone

(847) 382-5688

Fax

(847) 382-5697

NPI assigned

Dec 20, 2006

Last updated

Sep 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Dewitt, PHDNPI 1689737009

Title

Owner

Phone

(847) 392-5688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

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.

• Patricia H Dewitt, PHD

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1497818892
  Medicare reassignment Care Compare group NPD
• Daniel J Dewitt, PHD

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1689737009
  Medicare reassignment Authorized official
• Nancy A Kunkel, PSYD

  • Clinical Psychologist
  • Lombard, IL
  • NPI 1235292103
  Medicare reassignment Care Compare group
• Timothy Hull, PHD

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1235292640
  Medicare reassignment
• Lolita Ladimir

  • Clinical Social Worker
  • Barrington, IL
  • NPI 1922470780
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1851455398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HARRISON ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-382-5688",
            "fax_number": "847-382-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HARRISON ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-382-5688",
            "fax_number": "847-382-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHONE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-392-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "060-006541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A Powell, D.D.S.
• Todd P Powell, D.D.S.
• Gertrude Prahler, COUNSELOR-IN-TRAININ
• Kimberly Lynn Prell, OTR/L
• Eliana H. Psarros
• Purnell Counseling Inc.
• Thomas Purnell, L.C.P.C.
• Rebecca Ashley Purse, LSW
• Jalaja Puthuvalil
• Jennifer Quintas, MAT, LAT, ATC

• Clinical Psychologist in Barrington, IL
• Providers in Barrington, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.