Stacey Pelton, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.005848 Issued in IL

Practice address

1920 Thoreau Dr N
Suite 151
Schaumburg, IL 60173-4176

Phone

(847) 303-1880

Fax

(847) 303-1881

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stacey Pelton Max Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Behavioral Care Associates

  • Psychologist
  • Schaumburg, IL
  • NPI 1548484934
  NPD (past)
• Behavioral Psychology Associates, P.C.

  • Psychologist
  • Schaumburg, IL
  • NPI 1427188952
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1063676427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 THOREAU DR N",
            "address_2": "SUITE 151",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734176",
            "telephone_number": "847-303-1880",
            "fax_number": "847-303-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 THOREAU DR N",
            "address_2": "SUITE 151",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734176",
            "telephone_number": "847-303-1880",
            "fax_number": "847-303-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.005848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PELTON MAX",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Emmanuel Adam Perakis, MD
• Magdalena Perez-Villlanueva, PHD
• Cassandra Perez, MS, LCPC, LPC, NCC
• Melinda Perez, LCSW
• Venus Marie Perez, RN

• Clinical Psychologist in Schaumburg, IL
• Providers in Schaumburg, 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 13, 2012; 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.