Individual provider Active NPI

Megan Roehrig Tondu, PHD

  • Clinical Psychologist
  • Highland Park, IL
National Provider Identifier
1326343344
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007970 Issued in IL
Practice address
1910 1St St
Suite 302
Highland Park, IL 60035-3144
Phone
(847) 926-7781
Fax
(847) 926-7736
NPI assigned
Jan 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.007970 IL Primary

Addresses

Primary practice location

1910 1St St
Suite 302
Highland Park, IL 60035-3144

Mailing address

1910 1St St
Suite 302
Highland Park, IL 60035-3144
Phone (847) 926-7781

Other names 1

  • Dr. Megan E Roehrig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071.007970ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Behavioral Health and Wellness, LLC Past Accepting new patients

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": "1295654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1326343344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 1ST ST",
            "address_2": "SUITE 302",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353144",
            "telephone_number": "847-926-7781",
            "fax_number": "847-926-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 1ST ST",
            "address_2": "SUITE 302",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353144",
            "telephone_number": "847-926-7781",
            "fax_number": "847-926-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONDU",
        "first_name": "MEGAN",
        "middle_name": "ROEHRIG",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-22",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ROEHRIG",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.