Wellqor Psychological Services of Illinois, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS, P.C.

Practice address

1100 Cougar TRL
Cary, IL 60013-6057

Phone

(516) 987-4200

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

James Dennis McTague

Title

Owner

Phone

(516) 987-4200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1104353762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COUGAR TRL",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COUGAR TRL",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136057",
            "telephone_number": "516-987-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "MCTAGUE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-987-4200"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.