Mary Ellen Bratu PSYD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005052 Issued in IL

Legal business name

MARY ELLEN BRATU PSYD PC

Practice address

1555 N Naperville Wheaton Rd
Suite 104
Naperville, IL 60563-1557

Phone

(630) 416-8440

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ellen Bratu, PSYD

Title

Psychologist

Phone

(630) 416-8440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Lorraine Wright, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1457423915
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1073547204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32W081 ANDERSON LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639696",
            "telephone_number": "630-416-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N NAPERVILLE WHEATON RD",
            "address_2": "SUITE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-416-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELLEN BRATU PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "BRATU",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-416-8440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rami Martini, DO
• Aditi Martyniouk, DMD
• Rachit Marwaha, M.D
• Rakesh Marwaha, M.D.
• Mary Beth McLaughlin,LTD
• Sarah Ann Maseth, PHARM.D.
• Alan Masline, LPC
• Anthony Mason, LCSW
• Lauren Marie Mason, LSW, CADC
• Moira Michelle Massicotte, PT

• Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.