Organization Active NPI

Clinical Psychology Services, LTD

  • Community/Behavioral Health Agency
  • Naperville, IL
National Provider Identifier
1346481199
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
071005587 Issued in IL
Legal business name
CLINICAL PSYCHOLOGY SERVICES, LTD
Practice address
1288 Rickert Dr
300
Naperville, IL 60540-0951
Phone
(630) 355-5280
Fax
(630) 983-4839
NPI assigned
Mar 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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

Authorized official

Name
Dr. Deanna K. Weiss, PSY.D.NPI 1639149164
Title
Clinical Psychologist
Phone
(630) 355-5280

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
Community/Behavioral Health Agency 251S00000X 071005587 IL Primary

Addresses

Primary practice location

1288 Rickert Dr
300
Naperville, IL 60540-0951

Mailing address

1288 Rickert Dr
300
Naperville, IL 60540-0951
Phone (630) 355-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000048 IL Part B Supplier - Clinic/Group Practice 2567510621 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1755 Park St
Ste 300
Naperville, IL 60563
Phone (630) 416-6056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236384000000",
    "number": "1346481199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-355-5280",
            "fax_number": "630-983-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-355-5280",
            "fax_number": "630-983-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-03-07",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-355-5280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071005587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.