DR. EUGENE S. CARROCCIA (NPI# 1598886103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598886103 |
| Entity Type | Individual |
| Full Name | DR. EUGENE S. CARROCCIA |
| Other Name | DR. GENE CARROCCIA |
| Credential | PSY.D. |
| Practice Address |
4700 W 95th St Suite Ll5 Oak Lawn IL 60453-2533 |
| Mailing Address |
Po Box 776 Advocate Family Care Network Oak Lawn IL 60454-0776 |
| Practice Telephone | 8002161110 |
| Practice Fax Number | 7083464868 |
| Mailing Telephone | 8002161110 |
| Mailing Fax Number | 7083464868 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
071-006067 | IL | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071-006067 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-006067 | IL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071-006067 | IL | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
071-006067 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336279587 | Eugene C. Carroccia | Plastic Surgery | 8512 Ventnor Ave, Margate City, NJ 08402-2500 | 2007-03-06 |
| Street Address |
4700 W 95TH ST SUITE LL5 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826708 | Dzung X Nguyen | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2005-10-26 |
| 1902385990 | Elizabeth Peoples | Physician Assistant | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2018-08-09 |
| 1720539471 | Advocate Health and Hospital Corp | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-18 |
| 1083164347 | Schaelyn Mcfadden | Psychologist | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-11 |
| 1356700744 | Oak Lawn Health Mart Pharmacy Inc | Pharmacy | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2016-02-15 |
| 1992172464 | Advocate Healthcare | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2015-08-31 |
| 1639546468 | Erin Katherine Hagerty | Counselor | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2015-08-27 |
| 1902288566 | Patricia Zielinski | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2015-06-19 |
| 1982092193 | Vanessa Houdek | Psychologist | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2014-12-23 |
| 1093067589 | Jenna Mary Felczak-berberich | Psychologist | 4700 W 95th St, Suite Lower Level 5, Oak Lawn, IL 60453-2533 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643592 | Mikiela Danielle Cobb | Psychologist | 10522 S Cicero Ave Ste 401, Oak Lawn, IL 60453-5288 | 2018-03-22 |
| 1639448970 | Gina Fron | Psychologist | 9650 Minnick Ave, Oak Lawn, IL 60453-2912 | 2011-12-15 |
| 1326161530 | Deborah A Czupek | Psychologist | 5757 W 95th St, Ste 9, Oak Lawn, IL 60453-2370 | 2007-04-10 |
| 1427176189 | Deborah Anne Czupek | Psychologist | 5757 W 95th St Ste 9, Oak Lawn, IL 60453-2393 | 2007-03-27 |
| 1689736050 | Vicki W Kowalsky | Psychologist | 10735 S Cicero Avenue, 208, Oak Lawn, IL 60453 | 2006-12-14 |
| 1649263823 | Mary Angela Yerkes | Psychologist | 5001 W 95th St, Oak Lawn, IL 60453-2401 | 2005-08-24 |
| 1144853383 | Artrina Slabich-pollak | Psychologist | 4700 W 95th St Ste 205, Oak Lawn, IL 60453-2574 | 2020-02-17 |
| 1760020036 | Ron Dolgin | Psychologist | 10201 S Cicero Ave, Oak Lawn, IL 60453-4098 | 2019-12-17 |
| 1417515891 | Kevin Patrick Mcdunn | Psychologist | 10522 S Cicero Ave Ste 401, Oak Lawn, IL 60453-5288 | 2019-05-31 |
| 1861957151 | Meaghan Angela Cusack | Psychologist | 10522 S Cicero Ave Ste 401, Oak Lawn, IL 60453-5288 | 2019-01-31 |
| Find all providers in OAK LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.