Individual provider Active NPI

Martha Sue Stamper, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1336222454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
1340 Remington Rd Ste T
Schaumburg, IL 60173-4821
Phone
(847) 519-0520
Fax
(847) 519-0522
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1340 Remington Rd Ste T
Schaumburg, IL 60173-4821

Mailing address

4989 RFD
Long Grove, IL 60047-8227
Phone (847) 438-3272

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
I20091211000574 IL Practitioner - Clinical Psychologist 0042350654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1320 Tower Rd
Schaumburg, IL 60173-4309
Phone (847) 519-0520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martha S. Stamper, Psy.D. P.C. Clinical CurrentSince Oct 28, 2009 Accepting new patients

Locations

1320 Tower Rd
Schaumburg, IL 60173
Phone (847) 573-1157

1340 Remington Rd
Ste T
Schaumburg, IL 60173
Phone (773) 259-4239

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336222454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478227",
            "telephone_number": "847-438-3272",
            "fax_number": "847-519-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 REMINGTON RD STE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734821",
            "telephone_number": "847-519-0520",
            "fax_number": "847-519-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "MARTHA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.