Scott Walter Maieritsch, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.006914 Issued in IL

Practice address

5TH & Roosevelt Rd
Hines, IL 60141-5000

Phone

(708) 202-8387

NPI assigned

Oct 4, 2006

Last updated

Feb 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health and Education Specialists Inc

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1285812834
  NPD (past)
• Bhes Medical Group, LLC

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1386059996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1013003698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-202-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH & ROOSEVELT RD",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIERITSCH",
        "first_name": "SCOTT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaja Maghrabi, PHARMD
• Jayme Allison Magrady, PHARMD
• John Magruder
• Khalid Mahmood, RN
• Kelly Phipps Maieritsch, PH.D.
• Erica Jill Cohen Major, D.O.
• Antonio Malab, R.N
• Jemajo Malabanan
• Patricia Janina Javier Malabanan
• Christine Maldonado

• Clinical Psychologist in Hines, IL
• Providers in Hines, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.