Individual provider Active NPI

Paul R. Sather, PHD

  • Psychologist
  • St Charles, IL
National Provider Identifier
1497833727
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-004739 Issued in IL
Practice address
2210 Dean St
Suite I
St Charles, IL 60175-1066
Phone
(630) 377-1695
Fax
(630) 584-2490
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071-004739 IL Primary

Addresses

Primary practice location

2210 Dean St
Suite I
St Charles, IL 60175-1066

Mailing address

2210 Dean St
Suite I
St Charles, IL 60175-1066
Phone (630) 377-1695

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-004739ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthstone Psychological Services PC Current Accepting new patients
Meier Clinics of Illinois, P.C. Past Accepting new patients
Signature Consulting and Psychological Services, Inc. Past Accepting new patients
Meier Clinics of Illinois, P.C. Past Accepting new patients

Locations

1245 Executive Pl
Ste F400
Geneva, IL 60134
Phone (630) 262-1467

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1497833727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE I",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-1695",
            "fax_number": "630-584-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE I",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-1695",
            "fax_number": "630-584-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHER",
        "first_name": "PAUL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-004739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.