Individual provider Active NPI

Anna Mackender, MD

  • Psychiatry Physician
  • Wheaton, IL
National Provider Identifier
1285862284
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
125.055770 Issued in IL
Practice address
1761 S Naperville Rd Ste 200
Wheaton, IL 60189-5846
Phone
(630) 260-0606
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125.055770 IL Primary

Addresses

Primary practice location

1761 S Naperville Rd Ste 200
Wheaton, IL 60189-5846

Mailing address

1761 S Naperville Rd Ste 200
Wheaton, IL 60189-5846
Phone (630) 260-0606

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130613000152 IL Practitioner - Psychiatry 4688813181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Interfaith Counseling Center IncGroup PAC ID 8426014994, 19 clinicians

Practice addresses (Care Compare)

1819 Bay Scott Cir
Suite 109
Naperville, IL 60540-1130
Phone (630) 357-2456

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.055770ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Interfaith Counseling Center Inc. CurrentSince May 1, 2024 Accepting new patients
Samaritan Counseling Center Past Accepting new patients

Locations

1819 Bay Scott Cir
Ste 109
Naperville, IL 60540
Phone (630) 357-2456

1761 S Naperville Rd
Ste 200
Wheaton, IL 60189
Phone (630) 260-0606

Organizations & group practices 2

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1285862284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD STE 200",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-260-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD STE 200",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-260-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENDER",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125.055770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.