Individual provider Active NPI

Lisa Irgang, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1386674380
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
Suite T
Schaumburg, IL 60173-4830
Phone
(224) 622-5842
Fax
(847) 519-0522
NPI assigned
Jul 4, 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
Suite T
Schaumburg, IL 60173-4830

Mailing address

1926 Farnham CT
Schaumburg, IL 60194-2214
Phone (847) 882-0298

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
I20060324000231 IL Practitioner - Clinical Psychologist 6901814490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

937 N Plum Grove Rd
Suite D
Schaumburg, IL 60173-4771
Phone (630) 912-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071006913ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Clinical Psychologists Past Accepting new patients
Affiliated Clinical Psychologists Limited Past Accepting new patients

Organizations & group practices 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386674380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 FARNHAM CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942214",
            "telephone_number": "847-882-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 REMINGTON RD",
            "address_2": "SUITE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734830",
            "telephone_number": "224-622-5842",
            "fax_number": "847-519-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRGANG",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "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.