Primary Psychological Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

073.000062 Issued in IL

Legal business name

PRIMARY PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

116 W Eastman St
Suite 100
Arlington Heights, IL 60004-5938

Phone

(847) 342-5075

Fax

(847) 342-5037

NPI assigned

Aug 5, 2010

Last updated

Aug 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Marie Clements, PSYDNPI 1255660502

Title

Partner / Clinical Psychologist

Phone

(847) 342-5075

Specialties & licenses 1

Addresses

Locations

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.

• Teresa Marie Clements, PSYD

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1255660502
  NPD (past) Authorized official

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1518271105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W EASTMAN ST",
            "address_2": "SUITE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045938",
            "telephone_number": "847-342-5075",
            "fax_number": "847-342-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W EASTMAN ST",
            "address_2": "SUITE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045938",
            "telephone_number": "847-342-5075",
            "fax_number": "847-342-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PARTNER / CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-342-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "073.000062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier3 Stem Foundation Inc (Growspace Behavioral Health Center NFP)
• Presbyterian Homes (Thr Moorings of Arlington Heights)
• Kaleigh Madison Press
• Adam Lee Prickett, MD
• James Pride, M.D.
• Prime Focus ABA LLC
• Primelife Equipment LLC
• Priority Healthcare Equipment Inc
• Prism Medical Incorporated
• Prisms Group LLC

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.