Active NPI
Ozella Barnes
- Clinical Psychologist
- Hazel Crest, IL
National Provider Identifier
1972998748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008812
- Practice address
- 3330 W 177TH St
Suite 1F
Hazel Crest, IL 60429-2184 - Phone
- (708) 745-3040
- NPI assigned
- Mar 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008812 | IL | Primary |
Addresses
Primary practice location
3330 W 177TH St
Suite 1F
Hazel Crest, IL 60429-2184
Mailing address
PO Box 379
Orland Park, IL 60462-0379
Phone (708) 460-9833
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1972998748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 379",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604620379",
"telephone_number": "708-460-9833",
"fax_number": "708-460-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST",
"address_2": "SUITE 1F",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292184",
"telephone_number": "708-745-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "OZELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.