Organization Active NPI

Maitri Therapy Services, PLLC

  • Clinical Psychologist
  • Woodstock, IL
National Provider Identifier
1144057241
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MAITRI THERAPY SERVICES, PLLC
Practice address
881 Dakota Dr
Woodstock, IL 60098-6507
Phone
(815) 245-5968
NPI assigned
Sep 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Authorized official

Name
Dr. Megan Elizabeth Noren, PSY.D.NPI 1144483306
Title
President/Lic Clin Psychologist
Phone
(815) 245-5968

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

881 Dakota Dr
Woodstock, IL 60098-6507

Mailing address

881 Dakota Dr
Woodstock, IL 60098-6507
Phone (815) 245-5968

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": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1144057241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 DAKOTA DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986507",
            "telephone_number": "815-245-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 DAKOTA DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986507",
            "telephone_number": "815-245-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "NOREN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/LIC CLIN PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-245-5968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.