Individual provider Active NPI

Tricia A McKinney, PSYD

  • Clinical Child & Adolescent Psychologist
  • Schaumburg, IL
National Provider Identifier
1508062761
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071.007795 Issued in IL
Practice address
2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4188
Phone
(847) 791-2851
NPI assigned
Jun 25, 2007
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 071.007795 IL Primary

Addresses

Primary practice location

2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4188

Mailing address

1722 N Waterman Ave
Arlington Heights, IL 60004-4252
Phone (847) 791-2851

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
I20180301002126 IL Practitioner - Clinical Psychologist 3375804685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Therapy Partners PLLCGroup PAC ID 7911434022, 3 clinicians

Practice addresses (Care Compare)

3100 W Higgins Rd
Suite 175
Hoffman Estates, IL 60169-7244
Phone (847) 469-9835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.007795ILMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Therapy Partners PLLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

3100 W Higgins Rd
Ste 175
Hoffman Estates, IL 60169
Phone (847) 305-3996

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1508062761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 N WATERMAN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044252",
            "telephone_number": "847-791-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E ALGONQUIN RD",
            "address_2": "SUITE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734188",
            "telephone_number": "847-791-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "TRICIA",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.007795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.