Individual provider Active NPI

Dana Rosado

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1073007746
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009698 Issued in IL
Practice address
1365 Wiley Rd Ste 147
Schaumburg, IL 60173-4357
Phone
(847) 636-7336
NPI assigned
Jun 18, 2018
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 071009698 IL Primary

Addresses

Primary practice location

1365 Wiley Rd Ste 147
Schaumburg, IL 60173-4357

Mailing address

1305 Wiley Rd Ste 147
Schaumburg, IL 60173-4343
Phone (847) 636-7336

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
I20180824000893 IL Practitioner - Clinical Psychologist 3072862069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1365 Wiley Rd
Suite 147
Schaumburg, IL 60173-4357
Phone (847) 636-7336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009698ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurobehavioral Diagnostics Inc CurrentSince Feb 7, 2024 Accepting new patients

Locations

1305 Wiley Rd
Ste 147
Schaumburg, IL 60173

1365 Wiley Rd
Ste 147
Schaumburg, IL 60173
Phone (224) 801-4514

Organizations & group practices 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1073007746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WILEY RD STE 147",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734343",
            "telephone_number": "847-636-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD STE 147",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-636-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.