Miriam A Mendoza

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

28W671 Garys Mill Rd
Winfield, IL 60190-1564

Phone

(630) 293-9860

Fax

(630) 293-9861

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pathways Psychology Services P.C.

  • Clinical Psychologist
  • Winfield, IL
  • NPI 1942485198
  NPD
• Proper Chiropractic

  • Chiropractor
  • Aurora, IL
  • NPI 1568118859
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1093232894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W671 GARYS MILL RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901564",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28W671 GARYS MILL RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901564",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3973 75th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605047914",
            "country_code": "US",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MIRIAM",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryn R. Meek, PSY.D.
• Philip C Mehaffey, M.D.
• Zara Mehta
• Enn Meister, D.C.
• Nichole Karista Melody, PHARMD
• Rekha Menon, M.D.
• Michael George Mercury, PHD
• Amy Marie Merkel, APRN-BC
• Lucy P Meroni, APRN, CNP
• Arlene Phyllis Meyer, NURSE PRACTITIONER

• Student in an Organized Health Care Education/Training Program in Winfield, IL
• Providers in Winfield, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.