Karen E Farrell, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003247 Issued in IL

Practice address

2024 Hickory Rd Ste 103
Homewood, IL 60430-2158

Phone

(708) 957-3662

Fax

(708) 957-3695

NPI assigned

Apr 12, 2007

Last updated

May 19, 2020By 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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associates in Clinical Psychology and Substance Abuse PC,Group PAC ID 7416905062, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Associates in Clinical Psychology & Substance Abuse PC

  • Clinical Psychologist
  • Homewood, IL
  • NPI 1194827238
  Medicare reassignment Care Compare group NPD
• Harvey Martin & Associates Inc.

  • Clinical Psychologist
  • Frankfort, IL
  • NPI 1912030735
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1871717710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD STE 103",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-957-3662",
            "fax_number": "708-957-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD STE 103",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-957-3662",
            "fax_number": "708-957-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyecare Associates, LTD.
• Family Chiropractic Health Clinic
• Bonnie Jo Fanelli, M.S., CCC/SLP
• Lana Faraj, PHARM.D
• John L Farrell, PHD
• Favor Medical Supplies & Transportation Services Inc
• Jocelyn L Faydenko, DC
• Naomi Michelle Fenton
• Field Counseling
• Lee Douglas Fillak, D.M.D.,M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.

Verify at the official NPI Registry.