Active NPI
Linda D. Small, PH.D.
- Clinical Psychologist
- Oak Park, IL
National Provider Identifier
1871628636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-004196
- Practice address
- 1100 Lake St
Ste 275
Oak Park, IL 60301-1039 - Phone
- (630) 968-4300
- Fax
- (630) 968-4385
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-004196 | IL | Primary |
Addresses
Primary practice location
1100 Lake St
Ste 275
Oak Park, IL 60301-1039
Mailing address
1100 Lake St
# 23C
Oak Park, IL 60301-1015
Phone (630) 968-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130423000174 | IL | Practitioner - Clinical Psychologist | 5193961928 | Practice locations: Oak Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1101 Lake St
Suite 405D
Oak Park, IL 60301-1048
Phone (630) 968-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004196 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda D. Small, PH.D and Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Downers Grove, IL
- NPI 1932364353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1871628636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LAKE ST",
"address_2": "# 23C",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011015",
"telephone_number": "630-968-4300",
"fax_number": "630-968-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE ST",
"address_2": "STE 275",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011039",
"telephone_number": "630-968-4300",
"fax_number": "630-968-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "LINDA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-004196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
- Sleep and Mental Wellness, PLLC
- Emily Ann Sliwa, LCPC
- Ify C Sloan, MS,SLP,CCC,L
- Annemarie Slobig, PSY.D.
- Small Talk Therapy Services PC
- Smart Behavior Solutions (Serrano Counseling and Behavior Solutions)
- Smart Love Parenting Center (Pediatric Counseling Center)
- Leslie Smebak, MD
- Smile You Re Golden
- Kimberly Lisa Smith-Martinez, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.