Active NPI
Carrie S Thomas Hossain, PSY.D
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1952673428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008287
- Practice address
- 1437 W Berteau Ave
Chicago, IL 60613-1914 - Phone
- (773) 888-1613
- NPI assigned
- Jan 31, 2012
- Last updated
- Jan 29, 2024
- 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 | 071.008287 | IL | Primary |
Addresses
Primary practice location
1437 W Berteau Ave
Chicago, IL 60613-1914
Mailing address
1437 W Berteau Ave
Chicago, IL 60613-1914
Phone (773) 888-1613
Other names 1
- Dr. Carrie S Thomas
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008287 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Growth Therapy, PLLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1952673428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 W BERTEAU AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131914",
"telephone_number": "773-888-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 W BERTEAU AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131914",
"telephone_number": "773-888-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS HOSSAIN",
"first_name": "CARRIE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "THOMAS",
"middle_name": "S",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.