Karen L. Pedigo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

71006801 Issued in IL

Practice address

3624 W 216TH Street
Matteson, IL 60443-2713

Phone

(815) 735-3251

Fax

(708) 481-7725

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Center Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matteson, IL
  • NPI 1902982127
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1962596858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W 216TH STREET",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "815-735-3251",
            "fax_number": "708-481-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W 216TH STREET",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "815-735-3251",
            "fax_number": "708-481-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "KAREN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "71006801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Howard Parker, M.D.
• Desiree Patillo
• Patrice Patton-Campbell, LCPC, NCC
• PC Xpress Inc
• Peaceful Mind Therapeutics PLLC
• Timothy W Pedigo, PHD
• Tiffany N. Perdue, FNP-BC
• Keri Perillo, LCPC, CADC
• Personal Care Pharmacy
• Quanesha Phillips

• Psychologist in Matteson, IL
• Providers in Matteson, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.