Individual provider Active NPI

Mallory Uhlig, M.S., B.C.B.A

  • Behavior Analyst
  • Schaumburg, IL
National Provider Identifier
1407277684
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25487 Issued in IL
Practice address
51 W Schaumburg Rd
Schaumburg, IL 60194-3506
Phone
(847) 607-1113
Fax
(217) 284-9114
NPI assigned
Dec 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Behavior Analyst 103K00000X 1-17-25487 IL Primary

Addresses

Primary practice location

51 W Schaumburg Rd
Schaumburg, IL 60194-3506

Mailing address

51 W Schaumburg Rd
Schaumburg, IL 60194-3506
Phone (847) 607-1113

Other practice location 1

603 E Diehl Rd Ste 123
Naperville, IL 60563-4908
Phone (331) 826-0226

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)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Childrens Therapy PastSince Jun 6, 2021 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": "1386979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1407277684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943506",
            "telephone_number": "847-607-1113",
            "fax_number": "217-284-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943506",
            "telephone_number": "847-607-1113",
            "fax_number": "217-284-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 E Diehl Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605634908",
            "country_code": "US",
            "telephone_number": "331-826-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UHLIG",
        "first_name": "MALLORY",
        "credential": "M.S., B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-14",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-17-25487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.