Individual provider Active NPI

Mary Englund, PSY.D.

  • Clinical Psychologist
  • Geneva, IL
National Provider Identifier
1104047836
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006919 Issued in IL
Practice address
378 Colonial Cir
Geneva, IL 60134-3639
Phone
(630) 639-2777
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 071006919 IL Primary

Addresses

Primary practice location

378 Colonial Cir
Geneva, IL 60134-3639

Mailing address

25 N River LN Ste 25485
Geneva, IL 60134-2263
Phone (630) 639-2777

Other names 1

  • Dr. Mary Potts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071006919ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Englund, PSYD., PLLC Clinical CurrentSince Dec 15, 2024 Accepting new patients
M. Mark McKee, Psy.D. & Associates, PC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1104047836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N RIVER LN STE 25485",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342263",
            "telephone_number": "630-639-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 COLONIAL CIR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343639",
            "telephone_number": "630-639-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLUND",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "POTTS",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.