PAUL JOSEPH FITZGERALD, Psy.D., LCPC — NPI 1104949585 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1104949585

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

401 S LA SALLE ST, SUITE 1600-P, CHICAGO, IL, 60605-1014

✓ 9-Digit EDI 837 ZIP+4 (60605-1014)

Practice Phone & Referral Fax

(708) 337-6936

Fax: (314) 675-6788

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104949585 (PAUL JOSEPH FITZGERALD, Psy.D., LCPC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104949585` (NPI-1 Individual Practitioner)
Provider / Legal Name	PAUL JOSEPH FITZGERALD, Psy.D., LCPC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	401 S LA SALLE ST, SUITE 1600-P, CHICAGO, IL, 60605-1014
Practice Telephone / Fax	Tel: (708) 337-6936 \| Fax: (314) 675-6788
Administrative Mailing Address	8031 42ND ST, LYONS, IL, 60534-1101
Enumeration & Last Sync	Enumerated: 2007-04-09 \| CMS Record Updated: 2014-05-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

401 S LA SALLE ST, SUITE 1600-P, CHICAGO, IL, 60605-1014

🗺️ Open in Google Maps 🏥 More Providers in CHICAGO

🔒 Are you PAUL JOSEPH FITZGERALD, Psy.D., LCPC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAUL JOSEPH FITZGERALD, Psy.D., LCPC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: IL \| License: `180-001119` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: IL \| License: `071-008816` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

PAUL JOSEPH FITZGERALD, Psy.D., LCPC (NPI #1104949585)