Individual provider Active NPI

Magdalene Rene Harki, PSY.D. ABPP

  • Clinical Neuropsychologist
  • Park Ridge, IL
National Provider Identifier
1568823615
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.010071 Issued in IL
Practice address
1875 W Dempster St Ste 690
Park Ridge, IL 60068-1180
Phone
(847) 723-7965
Fax
(847) 723-7599
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071.010071 IL Primary

Addresses

Primary practice location

1875 W Dempster St Ste 690
Park Ridge, IL 60068-1180

Mailing address

1875 W Dempster St Ste 690
Park Ridge, IL 60068-1180
Phone (847) 723-7965

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.010071ILMDClinical Neuropsychologist

Interoperability endpoints

  • Direct secure messaging: mharki249942@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1568823615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER ST STE 690",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681180",
            "telephone_number": "847-723-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER ST STE 690",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681180",
            "telephone_number": "847-723-7965",
            "fax_number": "847-723-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKI",
        "first_name": "MAGDALENE",
        "middle_name": "RENE",
        "credential": "PSY.D. ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.010071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.