Individual provider Active NPI

Maia Feigon, PHD

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1265880975
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.009267 Issued in IL
Practice address
1300 W Belmont Ave Ste 205
Chicago, IL 60657-3240
Phone
(773) 420-9499
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-009267 IL
Clinical Neuropsychologist 103G00000X 071.009267 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave Ste 205
Chicago, IL 60657-3240

Mailing address

1300 W Belmont Ave Ste 205
Chicago, IL 60657-3240
Phone (773) 420-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823002299 IL Practitioner - Clinical Psychologist 8426343930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chicagoland Cognitive Assessment Center, LLCGroup PAC ID 1557807294, 2 clinicians

Practice addresses (Care Compare)

1300 W Belmont Ave
Suite 205
Chicago, IL 60657-3240
Phone (847) 708-8731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.009267ILMDClinical Neuropsychologist
071-009267ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Cognitive Assessment Center, LLC Clinical Neuropsychologist CurrentSince May 6, 2024 Accepting new patients

Locations

1300 W Belmont Ave
Ste 205
Chicago, IL 60657
Phone (773) 420-9499

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1265880975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573240",
            "telephone_number": "773-420-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573240",
            "telephone_number": "773-420-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIGON",
        "first_name": "MAIA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-009267",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.009267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.