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DR. AUGUST JOHN CRIVOLIO PH.D.
NPI 1497970644
Psychologist - Clinical in Chicago, IL

Active since April 14, 2007Opted out of Medicare · through Jul 5, 2027
333 E ONTARIO ST, SUITE 301B, CHICAGO, IL 60611(312) 951-0157(312) 951-0193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. August John Crivolio Ph.d. NPPES

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

DR. AUGUST JOHN CRIVOLIO PH.D. (NPI 1497970644) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since April 2007. He has opted out of Medicare through July 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497970644
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AUGUST JOHN CRIVOLIOCredential: PH.D.
Location Address333 E ONTARIO ST, SUITE 301BChicago, IL 60611-4804
Mailing Address333 E Ontario St, Suite 301bChicago, IL 60611-4804 · (312) 951-0157 · Fax (312) 951-0193
Phone(312) 951-0157
Fax(312) 951-0193
Sole ProprietorYes
Enumeration DateApril 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497970644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
333 E ONTARIO ST, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 1

Other1672476IL · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. August John Crivolio Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 5, 2017 through July 5, 2027.

Opt-Out Effective DateJuly 5, 2017
Opt-Out In Effect ThroughJuly 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

LAUREN E. WAGNER, M.D., S.C.
Psychiatry & Neurology (Psychiatry)
333 E ONTARIO ST, SUITE #3303B
CHICAGO, IL 60611
Cook County (312) 255-8111
DR. TAMARA SHER PH.D.
Psychologist (Clinical)
333 E ONTARIO ST, #3303B
CHICAGO, IL 60611
Cook County (312) 567-3506
DR. JORDAN J TILDEN DDS
Dentist (General Practice)
333 E ONTARIO ST, SUITE A
CHICAGO, IL 60611
Cook County (312) 664-6616
SARAH ROSENBLOOM, PHD
Psychologist (Clinical)
333 E ONTARIO ST, SUITE 4401B
CHICAGO, IL 60611
Cook County (312) 420-5594
DR. LAUREN E WAGNER M.D.
Psychiatry & Neurology (Psychiatry)
333 E ONTARIO ST, SUITE 3303B
CHICAGO, IL 60611
Cook County (312) 255-8111
DR. JENNIFER MARTIN PSY.D.
Psychologist
333 E ONTARIO ST, 1906B
CHICAGO, IL 60611
Cook County (773) 571-9127
DR. SUSAN FRANCES WALSH PH.D.
Social Worker (Clinical)
333 E ONTARIO ST, SUITE 611B
CHICAGO, IL 60611
Cook County (312) 642-4333
AVE GAY PANGANIBAN
Occupational Therapist
333 E ONTARIO ST, UNIT 801
CHICAGO, IL 60611
Cook County (305) 934-6122

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 August Crivolio's NPI number?

The NPI number for August Crivolio is 1497970644. It was assigned to this individual provider in the NPPES registry on April 14, 2007.

Where is August Crivolio located?

August Crivolio practices at 333 E Ontario St Suite 301B, Chicago, IL 60611. The listed phone number is (312) 951-0157.

What is August Crivolio's specialty?

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

Is August Crivolio enrolled in Medicare?

No. August Crivolio has opted out of Medicare through July 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for August Crivolio was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.