Organization Active NPI

McNulty Consultants, Inc

  • Clinical Social Worker
  • Bloomingdale, IL
National Provider Identifier
1144425463
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004338 Issued in IL
Legal business name
MCNULTY CONSULTANTS, INC
Practice address
125 E Lake St Ste 206
Bloomingdale, IL 60108-1117
Phone
(630) 673-5510
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mr. Paul R. McNulty, LCSW
Title
President
Phone
(630) 673-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149004338 IL Primary

Addresses

Primary practice location

125 E Lake St Ste 206
Bloomingdale, IL 60108-1117

Mailing address

1N270 Ellis Ave
Carol Stream, IL 60188-3543
Phone (630) 673-5510

Other identifiers 1

IdentifierTypeStateIssuer
02222710OtherILBLUE CROSS BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

125 E Lake St
Ste 206
Bloomingdale, IL 60108
Phone (630) 588-0118

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1144425463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N270 ELLIS AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601883543",
            "telephone_number": "630-673-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LAKE ST STE 206",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081117",
            "telephone_number": "630-673-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNULTY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-673-5510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "02222710",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.