Individual provider Active NPI

Matthew Fleming, PHD

  • Clinical Psychologist
  • Algonquin, IL
National Provider Identifier
1295309326
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010972 Issued in IL
Practice address
1457 Merchant Dr Ste C&F
Algonquin, IL 60102-5917
Phone
(847) 461-8414
NPI assigned
May 13, 2021
Last updated
May 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178009612 IL
Clinical Psychologist 103TC0700X 071010972 IL Primary

Addresses

Primary practice location

1457 Merchant Dr Ste C&F
Algonquin, IL 60102-5917

Mailing address

22466 N Hopewell CT
Kildeer, IL 60047-7925

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
I20230520000157 IL Practitioner - Clinical Psychologist 3577929330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rosecrans and Associates PLLCGroup PAC ID 7416389903, 2 clinicians

Practice addresses (Care Compare)

1457 Merchant Dr
Suite C
Algonquin, IL 60102-5917
Phone 8474618414101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178009612ILMDCounselor
071010972ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrans & Associates PLLC CurrentSince May 9, 2023 Accepting new patients

Locations

1457 Merchant Dr
Algonquin, IL 60102
Phone (847) 461-8414

1457 Merchant Dr
Ste C
Algonquin, IL 60102
Phone (847) 461-8414

1457 Merchant Dr
Ste Cf
Algonquin, IL 60102
Phone (847) 461-8414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1295309326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22466 N HOPEWELL CT",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600477925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 MERCHANT DR STE C&F",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-461-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178009612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.