Organization Active NPI

Reflections Psychotherapy, P.C.

  • Clinical Social Worker
  • Buffalo Grove, IL
National Provider Identifier
1588925903
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REFLECTIONS PSYCHOTHERAPY, P.C.
Practice address
355 W Dundee Rd Ste 214
Buffalo Grove, IL 60089-3500
Phone
(847) 483-9701
Fax
(847) 483-9702
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Ms. Melinda Alice Marx, MSWNPI 1851352801
Title
President
Phone
(847) 483-9701

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X IL Primary

Addresses

Primary practice location

355 W Dundee Rd Ste 214
Buffalo Grove, IL 60089-3500

Mailing address

10024 Skokie Blvd Ste 223
Skokie, IL 60077-9989
Phone (847) 483-9701

Other names 1

  • Reflections Psychotherapy, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

10024 Skokie Blvd
Ste 223
Skokie, IL 60077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1588925903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD STE 223",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779989",
            "telephone_number": "847-483-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 214",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "847-483-9701",
            "fax_number": "847-483-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS PSYCHOTHERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-483-9701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Psychotherapy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.