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DR. CARROLL A CRADOCK PH.D.
NPI 1316085954
Psychologist - Clinical Child & Adolescent in Chicago, IL

Active since February 04, 2007PECOS EnrolledAccepts Medicare Assignment
411 S SANGAMON ST, SUITE 2A, CHICAGO, IL 60607(312) 243-7441 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carroll A Cradock Ph.d. NPPES

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

DR. CARROLL A CRADOCK PH.D. (NPI 1316085954) is an individual clinical child & adolescent provider in Chicago, Illinois and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1316085954
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. CARROLL A CRADOCKCredential: PH.D.
Location Address411 S SANGAMON ST, SUITE 2AChicago, IL 60607-3547
Mailing Address411 S Sangamon St, Suite 2aChicago, IL 60607-3547 · (312) 243-7441
Phone(312) 243-7441
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateFebruary 4, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1316085954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
411 S SANGAMON ST, Chicago, IL 60607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carroll A Cradock Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840536454
PECOS Enrollment IDI20190117002687
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.

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 Carroll Cradock's NPI number?

The NPI number for Carroll Cradock is 1316085954. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Carroll Cradock located?

Carroll Cradock practices at 411 S Sangamon St Suite 2A, Chicago, IL 60607. The listed phone number is (312) 243-7441.

What is Carroll Cradock's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Carroll Cradock enrolled in Medicare?

Yes. Carroll Cradock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carroll Cradock was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.