Individual provider Active NPI

Carrie S Thomas Hossain, PSY.D

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1952673428
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008287 Issued in IL
Practice address
1437 W Berteau Ave
Chicago, IL 60613-1914
Phone
(773) 888-1613
NPI assigned
Jan 31, 2012
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
071.008287ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Growth Therapy, PLLC CurrentSince Feb 11, 2024 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"
        }
    ]
}

Other providers in Chicago, IL

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.

Verify at the official NPI Registry.