Organization Active NPI

Diana M. Rothermel, Psy.D., PLLC

  • Clinical Psychologist
  • Rolling Meadows, IL
National Provider Identifier
1437823572
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DIANA M. ROTHERMEL, PSY.D., PLLC
Practice address
3601 Algonquin Rd Ste 335
Rolling Meadows, IL 60008-3107
Phone
(847) 773-1774
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Dr. Diana M. Rothermel, PSY.D.NPI 1841452208
Title
Clinical Psychologist
Phone
(847) 773-1774

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 NU Primary

Addresses

Primary practice location

3601 Algonquin Rd Ste 335
Rolling Meadows, IL 60008-3107

Mailing address

3601 Algonquin Rd Ste 335
Rolling Meadows, IL 60008-3107
Phone (847) 773-1774

National Provider Directory

National Provider Directory

Locations

3601 Algonquin Rd
Ste 335
Rolling Meadows, IL 60008
Phone (847) 773-1774

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": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1437823572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ALGONQUIN RD STE 335",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083107",
            "telephone_number": "847-773-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 ALGONQUIN RD STE 335",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083107",
            "telephone_number": "847-773-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA M. ROTHERMEL, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "ROTHERMEL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-773-1774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

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