Individual provider Active NPI

Nicole M Springer-Iannantuoni, PSY.D.

  • Psychologist
  • Naperville, IL
National Provider Identifier
1154565877
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071.005993 Issued in IL
Practice address
29 S Webster St Ste 210C
Naperville, IL 60540-5678
Phone
(630) 635-0406
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071.005993 IL Primary

Addresses

Primary practice location

29 S Webster St Ste 210C
Naperville, IL 60540-5678

Mailing address

2272 95TH St Ste 125
Naperville, IL 60564-8982
Phone (630) 409-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000638 IL Practitioner - Clinical Psychologist 0547310674 Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 S Webster St
210C
Naperville, IL 60540-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.005993ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1154565877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 95TH ST STE 125",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648982",
            "telephone_number": "630-409-9700",
            "fax_number": "630-409-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 210C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405678",
            "telephone_number": "630-635-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER-IANNANTUONI",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.005993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.