Courtney Racquel Cornick, PH.D.
NPI 1164973707ActiveIndividual· Psychologist, Clinical· Hines, IL
Psychologist, Clinical (PH.D.) with Evolutis LLC, practicing in Hines, Illinois. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1164973707 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 19, 2016 |
| Last updated in NPPES | Oct 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3422-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL); Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Evolutis LLCMunster, IN · 8 clinicians
Other Psychologist, Clinical providers in Hines
- 1003638040
- 1023240728
- 1811410459
- 1619769106
- 1518410356
- 1801977269
- 1861506248
- 1497843353
- 1346079787
- 1013391002
- 1558085860
- 1801832076