Organization Active NPI

Majmudar and Associates, S.C.

  • Clinical Psychologist
  • Elgin, IL
National Provider Identifier
1124560446
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008888 Issued in IL
Legal business name
MAJMUDAR AND ASSOCIATES, S.C.
Practice address
2425 Royal Blvd
2ND Floor
Elgin, IL 60123-2507
Phone
(630) 923-5421
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Dr. Meera Majmudar, PSY.D.
Title
President/Director
Phone
(630) 605-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071008888 IL Primary

Addresses

Primary practice location

2425 Royal Blvd
2ND Floor
Elgin, IL 60123-2507

Mailing address

19 E Sandstone CT
South Elgin, IL 60177-3260
Phone (630) 923-5421

Other names 1

  • Nirvana Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170214001748 IL Part B Supplier - Clinic/Group Practice 8527341726 Receives reassigned benefits from 1 practitioner
Practice locations: South Elgin, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1124560446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E SANDSTONE CT",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773260",
            "telephone_number": "630-923-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ROYAL BLVD",
            "address_2": "2ND FLOOR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232507",
            "telephone_number": "630-923-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJMUDAR AND ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "MAJMUDAR",
        "authorized_official_first_name": "MEERA",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "630-605-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirvana Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.

Verify at the official NPI Registry.