Individual provider Active NPI

Jeffrey Lyle Santee, PHD

  • Clinical Psychologist
  • Wheaton, IL
National Provider Identifier
1457424400
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-003388 Issued in IL
Practice address
1761 S Naperville Rd
Ste 200
Wheaton, IL 60189-5846
Phone
(630) 260-0606
Fax
(630) 260-1049
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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 071-003388 IL Primary

Addresses

Primary practice location

1761 S Naperville Rd
Ste 200
Wheaton, IL 60189-5846

Mailing address

1761 S Naperville Rd
Ste 200
Wheaton, IL 60189-5846
Phone (630) 260-0606

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
I20120111000762 IL Practitioner - Clinical Psychologist 8022285279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Interfaith Counseling Center IncGroup PAC ID 8426014994, 19 clinicians

Practice addresses (Care Compare)

1819 Bay Scott Cir
Suite 109
Naperville, IL 60540-1129

1819 Bay Scott Cir
Suite 109
Naperville, IL 60540-1130
Phone (630) 357-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-003388ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Interfaith Counseling Center Inc. Clinical CurrentSince May 1, 2024 Accepting new patients
Samaritan Counseling Center Past Accepting new patients

Locations

1819 Bay Scott Cir
Ste 109
Naperville, IL 60540
Phone (630) 357-2456

1761 S Naperville Rd
Ste 200
Wheaton, IL 60189
Phone (630) 260-0606

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1457424400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD",
            "address_2": "STE 200",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-260-0606",
            "fax_number": "630-260-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD",
            "address_2": "STE 200",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-260-0606",
            "fax_number": "630-260-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTEE",
        "first_name": "JEFFREY",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.