KAREN E FARRELL (PSY.D.) – Clinical Psychologist, NPI 1871717710

KAREN E FARRELL (PSY.D.) is a healthcare provider. based in Homewood, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071003247 (IL). The NPI Number for KAREN E FARRELL (PSY.D.) is 1871717710

Main info

Female
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
KAREN E FARRELL (PSY.D.)
NPI
1871717710
Phone
(708) 957-3662
Address
2024 HICKORY RD STE 103
Enumeration Date
12 April 2007
Last Update Date
19 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089573662
Graduation Year
1983 (43 years ago)
PAC ID
5496703043
Group Practice PAC ID
7416905062
Professional Enrollment ID
I20110225000627
Address ID
IL604302158HO2024XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for KAREN E FARRELL (PSY.D.)

  • 2024 HICKORY RD STE 103

    HOMEWOOD, IL 604302158

    Phone: (708) 957-3662

    Fax: (708) 957-3695

    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: 2011-02-25

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
I20110225000627IClinical 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 60430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416905062View full group profile
NameSpecialtyState
Clinical PsychologistIL

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Frequently asked questions

What unique ID ties claims to KAREN E FARRELL (PSY.D.)?
NPI 1871717710 is assigned to KAREN E FARRELL (PSY.D.) under the national enumeration system.
Is KAREN E FARRELL (PSY.D.) currently active in the NPI registry?
CMS-published data lists KAREN E FARRELL (PSY.D.) as an active registrant.
Can you summarize KAREN E FARRELL (PSY.D.)'s specialty in plain language?
Clinically, the directory lists KAREN E FARRELL (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for KAREN E FARRELL (PSY.D.)?
We surface Homewood, Illinois for KAREN E FARRELL (PSY.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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