Individual provider Active NPI

Carissa Harvey, PSYD

  • Clinical Neuropsychologist
  • Huntley, IL
National Provider Identifier
1881226280
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.010231 Issued in IL
Practice address
12545 Farm Hill Dr Ste 400D
Huntley, IL 60142-7913
Phone
(847) 450-7193
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.010231 IL
Clinical Neuropsychologist 103G00000X 071.010231 IL Primary

Addresses

Primary practice location

12545 Farm Hill Dr Ste 400D
Huntley, IL 60142-7913

Mailing address

12545 Farm Hill Dr Ste 400D
Huntley, IL 60142-7913
Phone (847) 450-7193

Other practice location 1

1451 Merchant Dr
Algonquin, IL 60102-5917
Phone (847) 469-7537

Other practice location 2

17W662 Butterfield Rd Ste 302
Oakbrook Terrace, IL 60181-4006
Phone (847) 469-7537

Other practice location 3

2560 Foxfield Rd Ste 330
St Charles, IL 60174-5731
Phone (847) 469-7537

Other practice location 4

2300 N Barrington Rd Ste 105
Hoffman Estates, IL 60169-2033
Phone (847) 469-7537

Other practice location 5

1531 S Grove Ave Unit 105
Barrington, IL 60010-5250
Phone (847) 469-7537

Other practice location 6

2604 Dempster St Ste 407B
Park Ridge, IL 60068-8428
Phone (847) 469-7537

Other practice location 7

420 Lake Cook Rd Ste 112
Deerfield, IL 60015-4914
Phone (847) 469-7537

Other practice location 8

2551 N Clark St Ste 200
Chicago, IL 60614-1798
Phone (847) 469-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.010231ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Nexus PLLC Clinical Neuropsychologist CurrentSince Feb 1, 2025 Accepting new patients
Thomson Memory Center LLC Clinical Neuropsychologist CurrentSince Jan 18, 2008 Accepting new patients

Locations

1451 Merchant Dr
Algonquin, IL 60102
Phone (847) 854-8052

1531 S Grove Ave
Unit 105
Barrington, IL 60010
Phone (847) 769-7537

2551 N Clark St
Ste 200
Chicago, IL 60614

420 Lake Cook Rd
Ste 112
Deerfield, IL 60015
Phone (847) 641-1193

2300 N Barrington Rd
Ste 105
Hoffman Estates, IL 60169

12545 Farm Hill Dr
Ste 400D
Huntley, IL 60142
Phone (847) 450-7193

12545 Farm Hill Dr
Ste 400
Huntley, IL 60142
Phone (312) 213-6367

17W662 Butterfield Rd
Ste 302
Oakbrook Terrace, IL 60181

2604 Dempster St
Ste 407B
Park Ridge, IL 60068

2560 Foxfield Rd
Ste 330
St Charles, IL 60174

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1881226280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 FARM HILL DR STE 400D",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427913",
            "telephone_number": "847-450-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 FARM HILL DR STE 400D",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427913",
            "telephone_number": "847-450-7193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Merchant Dr",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601025917",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17W662 Butterfield Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814006",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2560 Foxfield Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601745731",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Barrington Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601692033",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 S Grove Ave Unit 105",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600105250",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Dempster St Ste 407B",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600688428",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Lake Cook Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600154914",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2551 N Clark St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606141798",
            "country_code": "US",
            "telephone_number": "847-469-7537",
            "fax_number": "847-469-7540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "CARISSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010231",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.010231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.