Caroline Larkin Leonczyk, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009901 Issued in IL

Practice address

1645 W Jackson Blvd Ste 603
Chicago, IL 60612-2643

Phone

(312) 563-0218

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cleonczyk138468@direct.rush.rush-health.com

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.

• Child and Family Development Inc.

  • Clinical Child & Adolescent Psychologist
  • Charlotte, NC
  • NPI 1871697888
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1962065532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122643",
            "telephone_number": "312-563-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONCZYK",
        "first_name": "CAROLINE",
        "middle_name": "LARKIN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline_leonczyk@rush.edu",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1645 W Jackson Blvd Ste 603",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606122643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Leonard
• Rebecca Marie Leonard, DDS
• Sherald R Leonard, M.D.
• Nathaniel Joseph Leonardi, DO
• Katherine Leonardis, DC
• Anngela Leone
• Anna Leong, RPH
• Danielle F Leong, O.D.
• Jack Leong, MD
• Joseph Leong

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.