Active NPI
Personal Growth Associates, Inc.
- Psychologist
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PERSONAL GROWTH ASSOCIATES, INC.
- Practice address
- 919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-5144 - Phone
- (847) 413-9700
- Fax
- (847) 413-1701
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ginger Larson
- Title
- Billing Manager
- Phone
- (847) 413-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-5144
Mailing address
919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-5144
Phone (847) 413-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050126000387 | IL | Part B Supplier - Clinic/Group Practice | 8921058140 |
Receives reassigned benefits from 16 practitioners Practice locations: Schaumburg, IL |
National Provider Directory
National Provider DirectoryLocations
1095 Pingree Rd
Ste 210
Crystal Lake, IL 60014
Phone (847) 413-9700
800 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 474-9600
919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173
Phone (847) 413-9700
1111 N Plaza Dr
Ste 780
Schaumburg, IL 60173
Phone (847) 413-9700
148 W Washington St
Ste 100
West Chicago, IL 60185
Practitioners & affiliated clinicians
Practitioners 35
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": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358726400000",
"number": "1184643124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 N PLUM GROVE RD",
"address_2": "SUITE C",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735144",
"telephone_number": "847-413-9700",
"fax_number": "847-413-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N PLUM GROVE RD",
"address_2": "SUITE C",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735144",
"telephone_number": "847-413-9700",
"fax_number": "847-413-1701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL GROWTH ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2013-01-21",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "GINGER",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "847-413-9700"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.