DR. CARLISSA RICHARDS HUGHES (PH.D.) – Clinical Psychologist, NPI 1477614691

DR. CARLISSA RICHARDS HUGHES (PH.D.) is a healthcare provider. based in River forest, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. The NPI Number for DR. CARLISSA RICHARDS HUGHES (PH.D.) is 1477614691

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLISSA RICHARDS HUGHES (PH.D.)
NPI
1477614691
Phone
(312) 531-2375
Address
605 KEYSTONE AVE
Enumeration Date
12 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479102867
Graduation Year
1996 (30 years ago)
PAC ID
3476883695
Professional Enrollment ID
I20191001000995
Address ID
IL603051613RI605XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. CARLISSA RICHARDS HUGHES (PH.D.)

  • 605, Keystone Avenue, River Forest, Cook County, Illinois, 60305, United States

    RIVER FOREST, IL 603051613

    Phone: (312) 531-2375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191001000995IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60305)

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Reviews

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Frequently asked questions

Is DR. CARLISSA RICHARDS HUGHES (PH.D.) listed with a National Provider Identifier?
Yes — DR. CARLISSA RICHARDS HUGHES (PH.D.) has NPI 1477614691 on file in the registry.
Would DR. CARLISSA RICHARDS HUGHES (PH.D.) appear as active to a payer?
You can treat DR. CARLISSA RICHARDS HUGHES (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CARLISSA RICHARDS HUGHES (PH.D.)?
DR. CARLISSA RICHARDS HUGHES (PH.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. CARLISSA RICHARDS HUGHES (PH.D.) registered?
Use River Forest, Illinois as the headline location for DR. CARLISSA RICHARDS HUGHES (PH.D.) here.
When was this NPI issued?
Enumeration for DR. CARLISSA RICHARDS HUGHES (PH.D.) is noted as December 12, 2006 where the registry provides it.

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