Maria Alicia Cornejo Garcia, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-007547 Issued in IL

Practice address

2100 Manchester Rd Ste 921
Wheaton, IL 60187-4649

Phone

(630) 296-9126

NPI assigned

Dec 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• M. Cornejo Garcia, Psy.D., P.C.

  • Clinical Psychologist
  • Wheaton, IL
  • NPI 1366724957
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1467698167",
    "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": {
        "last_name": "CORNEJO GARCIA",
        "first_name": "MARIA",
        "middle_name": "ALICIA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-007547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Cooley
• Monique D Copprue
• Coral Youker, D.C. LLC
• Marie Ellen Corcoran, D./O.
• Jeffrey Cordes
• Cornerstone Caregiving East LLC
• Cornerstone Clinical Associates, LTD
• Cornerstone Medical Group Inc
• Thomas A Cornwell, MD
• Kirsten Lynn Coronado

• Clinical Psychologist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinical Psychologist in Illinois

• 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.