Matthew Jacob Mols

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Practice address

503 Surrey Woods Dr
St Charles, IL 60174-2397

Phone

(815) 501-2609

Fax

(630) 549-6967

NPI assigned

Jan 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vertical Family Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • St Charles, IL
  • NPI 1972263978
  NPD

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104587997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SURREY WOODS DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742397",
            "telephone_number": "815-501-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SURREY WOODS DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742397",
            "telephone_number": "815-501-2609",
            "fax_number": "630-549-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLS",
        "first_name": "MATTHEW",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Moehrlin
• Meagen Lynn Moeller
• Laurie Jo Moffitt, LCPC
• Lauren Mollica, LMFT
• Emily Mols
• Richard Monis, A.T.C.
• Joseph Brent Montgomery, LPN
• Kari Moore, MS, CCC-SLP
• Shannon Lynn Moose, ATC, ROT, LAT
• Araceli Morales

• Primary Care Clinic/Center in St Charles, IL
• Providers in St Charles, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.