Organization Active NPI

M. Cornejo Garcia, Psy.D., P.C.

Doing business as Inspiring Connections Therapy

  • Clinical Psychologist
  • Wheaton, IL
National Provider Identifier
1366724957
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007547 Issued in IL
Legal business name
M. CORNEJO GARCIA, PSY.D., P.C.
Doing business as
Inspiring Connections Therapy
Practice address
2100 Manchester Rd Ste 921
Wheaton, IL 60187-4649
Phone
(630) 296-9126
NPI assigned
Sep 9, 2011
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Dr. Maria Cornejo Garcia, PSY.D.NPI 1467698167
Title
President/Owner
Phone
(630) 296-9126

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
Clinical Psychologist 103TC0700X 071007547 IL Primary

Addresses

Primary practice location

2100 Manchester Rd Ste 921
Wheaton, IL 60187-4649

Mailing address

2100 Manchester Rd Ste 921
Wheaton, IL 60187-4649
Phone (630) 296-9126

Other names 1

  • Inspiring Connections Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Manchester Rd
Ste 921
Wheaton, IL 60187
Phone (630) 296-9126

27W140 Roosevelt Rd
Lowr
Winfield, IL 60190

27W140 Roosevelt Rd
Ste 204
Winfield, IL 60190

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": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1366724957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 921",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874649",
            "telephone_number": "630-296-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 921",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874649",
            "telephone_number": "630-296-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. CORNEJO GARCIA, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "CORNEJO GARCIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-296-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspiring Connections Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.