The Plains Clinic

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

THE PLAINS CLINIC

Practice address

1541 E Fabyan Pkwy Ste 101
Geneva, IL 60134-4105

Phone

(630) 845-9644

Fax

(630) 845-9678

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Angel Heredia MD, MD

Title

President

Phone

(630) 845-9644

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Angel Heredia, MD

  • Child & Adolescent Psychiatry Physician
  • Geneva, IL
  • NPI 1023181070
  NPD
• Linda Huber, PHD

  • Psychologist
  • Geneva, IL
  • NPI 1497246227
  NPD (past)
• Lisa Callio Konick, PHD

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1548548092
  NPD (past)
• Vinita Menon, PH.D.

  • Clinical Psychologist
  • Ottawa, IL
  • NPI 1750644688
  NPD (past)
• Jessica Shega

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1346619988
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1215652011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 E FABYAN PKWY",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344105",
            "telephone_number": "630-845-9644",
            "fax_number": "630-845-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 E FABYAN PKWY STE 101",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344105",
            "telephone_number": "630-845-9644",
            "fax_number": "630-845-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLAINS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "HEREDIA MD",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-845-9644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Temple, PSY.D.
• Kajal Thakkar
• The Chiropractic People
• The Hart Center
• The Merra-Lee Shops Inc.
• The Prairie Clinic
• Toni Thill, LCSW, CADC
• Third Street Eyecare, LTD
• Thomas Skoumal DDS, PC
• Jill Thomas

• Child & Adolescent Psychiatry Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.