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DR. CARLOS QUEZADA-GOMEZ PSY.D.
NPI 1124271150
Psychologist - Clinical in Chicago, IL

Active since November 04, 2008PECOS Enrolled
2800 S CALIFORNIA AVE, CERMAK HEALTH SERVICES, CHICAGO, IL 60608(773) 869-5617 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carlos Quezada-gomez Psy.d. NPPES

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

DR. CARLOS QUEZADA-GOMEZ PSY.D. (NPI 1124271150) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071-005888) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124271150
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARLOS QUEZADA-GOMEZCredential: PSY.D.
Location Address2800 S CALIFORNIA AVE, CERMAK HEALTH SERVICESChicago, IL 60608-5107
Mailing Address1415 Sherman Ave Apt 507Evanston, IL 60201-4467 · (312) 550-1134
Phone(773) 869-5617
Sole ProprietorYes
Enumeration DateNovember 4, 2008
Last NPPES UpdateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1124271150 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 · 071-005888
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.
2800 S CALIFORNIA AVE, Chicago, IL 60608
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Other Names 1

Former Name (1)Charles Christopher Hutton

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Quezada-gomez Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY DANIEL ANASTASIA PHARMD
Pharmacist
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 674-5622
ANITA BIRTON RDH
Dental Hygienist
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 707-3123
ARIELLE DOUGLAS PHYSICIAN ASSISTANT
Physician Assistant
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 764-7488
JOHN H STROGER HOSPITAL OF COOK COUNTY
Rehabilitation Unit
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 674-4970
DR. KENYA D KEY PSY.D.
Psychologist (Clinical)
2800 S CALIFORNIA AVE, CERMAK HEALTH SERVICES
CHICAGO, IL 60608
Cook County (773) 674-3612
CAMERON LEE MAYFIELD
Physician Assistant
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 674-7488
MRS. KAREN XIONG CHAN
Pharmacist
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 674-5623
MS. KELLI POLO LCPC
Counselor (Professional)
2800 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 674-2470

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 Carlos Quezada-gomez's NPI number?

The NPI number for Carlos Quezada-gomez is 1124271150. It was assigned to this individual provider in the NPPES registry on November 4, 2008. The provider is also known as Charles Christopher Hutton.

Where is Carlos Quezada-gomez located?

Carlos Quezada-gomez practices at 2800 S California Ave Cermak Health Services, Chicago, IL 60608. The listed phone number is (773) 869-5617.

What is Carlos Quezada-gomez's specialty?

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

Is Carlos Quezada-gomez enrolled in Medicare?

Yes. Carlos Quezada-gomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Quezada-gomez was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.