Associates in Clinical Psychology & Substance Abuse PC
NPI 1194827238ActiveOrganization· Psychologist, Clinical· Homewood, IL
Psychologist, Clinical in Homewood, Illinois, registered in NPPES in September 2006. The authorized official on file is John L. Farrell, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194827238 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2006 |
| Last updated in NPPES | May 19, 2020 |
| Certified by provider | May 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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