Organization Active NPI

Psychology Consultants PC

  • Contractor
  • Naperville, IL
National Provider Identifier
1255364253
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
06005952 Issued in IL
Legal business name
PSYCHOLOGY CONSULTANTS PC
Practice address
1426 Ferncroft CT
Naperville, IL 60563-9772
Phone
(630) 745-0080
Fax
(815) 524-5186
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. John Peggau, PSYDNPI 1003020082
Title
President
Phone
(630) 745-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 06005952 IL Primary

Addresses

Primary practice location

1426 Ferncroft CT
Naperville, IL 60563-9772

Mailing address

1426 Ferncroft CT
Naperville, IL 60563-9772
Phone (630) 745-0080

National Provider Directory

National Provider Directory

Locations

1136 N Mill St
Naperville, IL 60563
Phone (630) 355-3300

4401 N Main St
Rockford, IL 61103
Phone (815) 877-8061

Practitioners & affiliated clinicians

Practitioners 3

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1255364253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 FERNCROFT CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639772",
            "telephone_number": "630-745-0080",
            "fax_number": "815-524-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FERNCROFT CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639772",
            "telephone_number": "630-745-0080",
            "fax_number": "815-524-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "PEGGAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-745-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "IL",
            "license": "06005952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.