MRS. KATY ROSE MCCULLOUGH (NPI# 1205349743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205349743 |
| Entity Type | Individual |
| Full Name | MRS. KATY ROSE MCCULLOUGH |
| Practice Address |
7540 S 86th Ave Justice IL 60458-1168 |
| Practice Telephone | 7084968700 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
7540 S 86TH AVE |
| City | JUSTICE |
| State | IL |
| Zip Code | 60458-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303450 | Anne Wildman | Social Worker | 8641 W 75th St, Justice, IL 60458 | 2017-08-24 |
| 1932450558 | Caring Hands Health Care Agency | Nurse's Aide | 8761 W. 85th Street, Apt 205 Bldg 17, Justice, IL 60458 | 2012-09-21 |
| 1700902681 | Moira Josephine O'connell | Physical Therapy Assistant | 9050 W.81st Street, Justice, IL 60458 | 2007-03-22 |
| 1497889687 | Indian Springs Sch Dist 109 | Clinic/Center | 7540 South 86th Ave, Justice, IL 60458 | 2007-03-16 |
| 1467429233 | Willow Springs Surgery Center, Ltd | Clinic/Center | 9050 W. 81st Street, Justice, IL 60458 | 2006-03-01 |
| 1750944591 | Melissa Maturo | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2019-04-17 |
| 1235605692 | Patrice Leann Mahoney | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2018-10-23 |
| 1417474081 | Jamie Zimmer | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2017-08-24 |
| 1366552408 | Gregory Paul Schubert | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2006-08-30 |
| 1063682714 | Gregory P Schubert Dds Ltd | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2008-03-10 |
| Find all providers in zip 60458 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
| 1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
| 1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
| 1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
| 1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
| 1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
| 1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
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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.