Spectrum Center for Integrative Neuroscience PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-009100 Issued in IL

Legal business name

SPECTRUM CENTER FOR INTEGRATIVE NEUROSCIENCE PC

Practice address

4302 W Crystal Lake Road
Suite C
McHenry, IL 60050-4248

Phone

(815) 271-5608

Fax

(779) 704-2139

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Marie Zimmerman, PSY.D.

Title

Clinical Director

Phone

(815) 271-5608

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lukasz Konopka

  • Psychologist
  • Romeoville, IL
  • NPI 1215469911
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1144696261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W CRYSTAL LAKE ROAD",
            "address_2": "SUITE C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504248",
            "telephone_number": "815-271-5608",
            "fax_number": "779-704-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W CRYSTAL LAKE ROAD",
            "address_2": "SUITE C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504248",
            "telephone_number": "815-271-5608",
            "fax_number": "779-704-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CENTER FOR INTEGRATIVE NEUROSCIENCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "815-271-5608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa R Soto, ROSA
• Soulbird Integrative
• Allen Sounhein, R.PH.
• Shatairen Spates
• Speak 2 Me Inc
• Shuree Carlia Spencer Johnson
• Curtis L Spencer
• Johnnita Spencer
• Spengel Chiropractic Center S.C.
• Spengel Chiropractic S.C.

• Psychologist in McHenry, IL
• Providers in McHenry, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.