Organization Active NPI

Neuro Nexus PLLC

  • Clinical Psychologist
  • Huntley, IL
National Provider Identifier
1942005160
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEURO NEXUS PLLC
Practice address
12545 Farm Hill Dr Ste 400D
Huntley, IL 60142-7913
Phone
(847) 450-7193
NPI assigned
Feb 13, 2025
Organization subpart
No

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

Authorized official

Name
Dr. Carissa Harvey, PSYDNPI 1881226280
Title
Licensed Clinical Neuropsychologist
Phone
(847) 450-7193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 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

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1942005160",
    "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": [],
    "basic": {
        "organization_name": "NEURO NEXUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "LICENSED CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "847-450-7193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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.