Organization Active NPI

Mathew McFadden, PSYD, PLLC

  • Mental Health Counselor
  • Geneva, IL
National Provider Identifier
1316646581
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MATHEW MCFADDEN, PSYD, PLLC
Practice address
515 James St Ste 8
Geneva, IL 60134-2174
Phone
(630) 429-7852
Fax
(630) 385-0150
NPI assigned
Feb 27, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Dr. Mathew McFadden, PSYDNPI 1346354636
Title
Owner
Phone
(630) 429-7852

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

515 James St Ste 8
Geneva, IL 60134-2174

Mailing address

515 James St Ste 8
Geneva, IL 60134-2174
Phone (630) 429-7852

Other identifiers 1

IdentifierTypeStateIssuer
1346354636OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

515 James St
Ste 8
Geneva, IL 60134
Phone (630) 429-7852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1316646581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JAMES ST STE 8",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342174",
            "telephone_number": "630-429-7852",
            "fax_number": "630-385-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 JAMES ST STE 8",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342174",
            "telephone_number": "630-429-7852",
            "fax_number": "630-385-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW MCFADDEN, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-429-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1346354636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.