Active NPI
Paula P. Merucci, LLC
- Adolescent and Children Mental Health Clinic/Center
- Evanston, IL
National Provider Identifier
1114434404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 149017859
- Legal business name
- PAULA P. MERUCCI, LLC
- Practice address
- 2530 Crawford Ave Ste 201
Evanston, IL 60201-4959 - Phone
- (847) 859-6033
- Fax
- (847) 241-0305
- NPI assigned
- Jan 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula P Merucci
- Title
- Owner
- Phone
- (847) 859-6033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 149017859 | IL | Primary |
Addresses
Primary practice location
2530 Crawford Ave Ste 201
Evanston, IL 60201-4959
Mailing address
2550 Wellington CT
Evanston, IL 60201-4975
Phone (847) 962-2639
Other practice location 1
2550 Wellington Ct
Evanston, IL 60201-4975
Phone (847) 962-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Evanston, IL
- NPI 1932542131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1114434404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WELLINGTON CT",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014975",
"telephone_number": "847-962-2639",
"fax_number": "847-241-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE STE 201",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014959",
"telephone_number": "847-859-6033",
"fax_number": "847-241-0305"
}
],
"practiceLocations": [
{
"address_1": "2550 Wellington Ct",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602014975",
"country_code": "US",
"telephone_number": "847-962-2639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAULA P. MERUCCI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-08",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "MERUCCI",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-859-6033"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "IL",
"license": "149017859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.