Active NPI
Margaret Primeau, PHD
- Psychologist
- Maywood, IL
National Provider Identifier
1245206713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 71003501
- Practice address
- 2160 So. First Avenue
Fahey BLDG., Room 213
Maywood, IL 60153 - Phone
- (708) 216-2220
- Fax
- (708) 216-6840
- NPI assigned
- Feb 24, 2006
- Last updated
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 71003501 | IL | Primary |
Addresses
Primary practice location
2160 So. First Avenue
Fahey BLDG., Room 213
Maywood, IL 60153
Mailing address
2160 So. First Avenue
Fahey BLDG., Room 213
Maywood, IL 60153
Phone (708) 216-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71003501 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003501 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1245206713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 SO. FIRST AVENUE",
"address_2": "FAHEY BLDG., ROOM 213",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-2220",
"fax_number": "708-216-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 SO. FIRST AVENUE",
"address_2": "FAHEY BLDG., ROOM 213",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-2220",
"fax_number": "708-216-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMEAU",
"first_name": "MARGARET",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "71003501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71003501",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maywood, IL
- Pornthep Prathanvanich, M.D.
- Presence Behavioral Health (ProCare Centers)
- Presence Behavioral Health (ProCare Centers)
- Michael Vincenzo Presta, D.O.
- Hannah Price
- Beatrice Probst, MD
- Proviso Area Exceptional Child
- Proviso Leyden Council for Community Action
- Proviso Partners for Health
- Proviso-Leyden Council for Community Action Inc (Plcca)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.