Active NPI
Laura Kupperman-Caron, PH.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1962803197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010882
- Practice address
- 30 N Michigan Ave Ste 901
Chicago, IL 60602-3767 - Phone
- (312) 380-9155
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 9118 | FL | |
| Clinical Psychologist | 103TC0700X | 071.010882 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 901
Chicago, IL 60602-3767
Mailing address
30 N Michigan Ave Ste 901
Chicago, IL 60602-3767
Phone (312) 380-9155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 3, 2026 through Feb 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 9118 | FL | MD | Clinical Psychologist |
| 071.010882 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illuminate Clinical Solutions, PLLC | Clinical | Current | Accepting new patients |
Locations
30 N Michigan Ave
Ste 901
Chicago, IL 60602
Phone (312) 339-8604
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1629753314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1962803197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 901",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023767",
"telephone_number": "312-380-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 901",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023767",
"telephone_number": "312-380-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPPERMAN-CARON",
"first_name": "LAURA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 9118",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.