Individual provider Active NPI

Anjali Soni, PSYD

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1023379518
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008308 Issued in IL
Practice address
1979 N Mill St
Suite 211
Naperville, IL 60563-1200
Phone
(630) 428-2344
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008308 IL Primary

Addresses

Primary practice location

1979 N Mill St
Suite 211
Naperville, IL 60563-1200

Mailing address

5415 N Sheridan Rd
Unit 1704
Chicago, IL 60640-1954
Phone (773) 655-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309002710 IL Practitioner - Clinical Psychologist 5597138602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maloy Therapeutic Alliance IncGroup PAC ID 7416284740, 5 clinicians

Practice addresses (Care Compare)

33 W Higgins Rd
Suite 2030
South Barrington, IL 60010-9342
Phone (847) 844-0864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maloy Therapeutic Alliance Inc Clinical CurrentSince Feb 1, 2023 Accepting new patients
DM Speech Therapy LLC PastSince Feb 1, 2023 Accepting new patients

Locations

33 W Higgins Rd
Ste 2030
South Barrington, IL 60010
Phone (224) 628-5823

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1023379518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N SHERIDAN RD",
            "address_2": "UNIT 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401954",
            "telephone_number": "773-655-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST",
            "address_2": "SUITE 211",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631200",
            "telephone_number": "630-428-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "ANJALI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.