Organization Active NPI

Midwest Behavioral Risk Management, P.C.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1184990160
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007267 Issued in IL
Legal business name
MIDWEST BEHAVIORAL RISK MANAGEMENT, P.C.
Practice address
869 E Schaumburg Rd
Suite 252
Schaumburg, IL 60194-3654
Phone
(847) 344-7472
Fax
(224) 653-9181
NPI assigned
Mar 24, 2012
Last updated
Mar 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Authorized official

Name
Dr. Mark Andrew Brenzinger, PSY.D.NPI 1508050766
Title
President
Phone
(847) 344-7472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071007267 IL Primary

Addresses

Primary practice location

869 E Schaumburg Rd
Suite 252
Schaumburg, IL 60194-3654

Mailing address

869 E Schaumburg Rd
Suite 252
Schaumburg, IL 60194-3654
Phone (847) 344-7472

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1184990160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E SCHAUMBURG RD",
            "address_2": "SUITE 252",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943654",
            "telephone_number": "847-344-7472",
            "fax_number": "224-653-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E SCHAUMBURG RD",
            "address_2": "SUITE 252",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943654",
            "telephone_number": "847-344-7472",
            "fax_number": "224-653-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BEHAVIORAL RISK MANAGEMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "BRENZINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-344-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007267",
            "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 Mar 24, 2012; 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.