CARRIE SPITALLI, PSY.D., P.C.
NPI 1093218737
Psychologist - Clinical in Bourbonnais, IL

Q: What is Carrie Spitalli, Psy.D., P.C.'s NPI number?

The NPI number for Carrie Spitalli, Psy.D., P.C. is 1093218737. It was assigned to this organization in the NPPES registry on March 8, 2018.

Q: What is Carrie Spitalli, Psy.D., P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since March 08, 2018

110 MOONEY DR STE 1, BOURBONNAIS, IL 60914(815) 933-7887 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carrie Spitalli, Psy.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIE SPITALLI, PSY.D., P.C. (NPI 1093218737) is a healthcare organization registered as a clinical in Bourbonnais, Illinois and active in the NPI registry since March 2018. The organization lists Carrie Lynn Spitalli, President, as its authorized official.

NPPES Registry Identity

NPI1093218737

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCARRIE SPITALLI, PSY.D., P.C.

Location Address110 MOONEY DR STE 1Bourbonnais, IL 60914-2172

Mailing Address110 Mooney Dr Ste 1Bourbonnais, IL 60914-2172 · (815) 933-7887

Phone(815) 933-7887

Organization SubpartNo

Authorized OfficialCarrie Lynn SpitalliPresident · (815) 933-7887

Enumeration DateMarch 8, 2018

✔ NPI 1093218737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071005739

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

110 MOONEY DR STE 1, Bourbonnais, IL 60914

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Spitalli, Psy.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carrie Spitalli, Psy.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Carrie Spitalli, PSY.D.

Clinical Psychologist

NPI 1750354254

110 MOONEY DR SUITE 1
Bourbonnais, IL 60914

(815) 933-7887

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Spitalli, Psy.D., P.C.'s NPI number?

The NPI number for Carrie Spitalli, Psy.D., P.C. is 1093218737. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Carrie Spitalli, Psy.D., P.C. located?

Carrie Spitalli, Psy.D., P.C. is located at 110 Mooney Dr Ste 1, Bourbonnais, IL 60914. The listed phone number is (815) 933-7887.

What is Carrie Spitalli, Psy.D., P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Carrie Spitalli, Psy.D., P.C. enrolled in Medicare?

Yes. Carrie Spitalli, Psy.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carrie Spitalli, Psy.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Carrie Spitalli, Psy.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carrie Spitalli, Psy.D., P.C. was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.