Organization Active NPI

Naperville-Wheaton Therapy Associates LLC

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1578880050
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005052 Issued in IL
Legal business name
NAPERVILLE-WHEATON THERAPY ASSOCIATES LLC
Practice address
1555 Naperville Wheaton Rd
Ste 104
Naperville, IL 60563-1557
Phone
(630) 355-9890
Fax
(630) 469-3562
NPI assigned
Apr 23, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Carolyn L Wright, LCSWNPI 1457423915
Title
LCSW
Phone
(630) 355-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071005052 IL Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149002210 IL

Addresses

Primary practice location

1555 Naperville Wheaton Rd
Ste 104
Naperville, IL 60563-1557

Mailing address

1555 Naperville Wheaton Rd
Ste 104
Naperville, IL 60563-1557
Phone (630) 355-9890

National Provider Directory

National Provider Directory

Locations

1555 Naperville Wheaton Rd
Ste 104
Naperville, IL 60563
Phone (630) 416-8440

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1578880050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD",
            "address_2": "STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-355-9890",
            "fax_number": "630-469-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD",
            "address_2": "STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-355-9890",
            "fax_number": "630-469-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE-WHEATON THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "630-355-9890",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005052",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.