Dr. Ann Dourlet Mott, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004004 Issued in IL

Legal business name

DR. ANN DOURLET MOTT, P.C.

Practice address

800 E Northwest Hwy Ste 407
Palatine, IL 60074-6519

Phone

(847) 604-4140

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ann Dourlet Mott, PSY.D

Title

President/Owner/Psychologist

Phone

(847) 604-4140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1992957757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 407",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746519",
            "telephone_number": "847-604-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 407",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746519",
            "telephone_number": "847-604-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANN DOURLET MOTT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "DOURLET",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-604-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013016161",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.