Naperville Clinical Services, Inc,

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007373 Issued in IL

Legal business name

NAPERVILLE CLINICAL SERVICES, INC,

Practice address

2272 W 95TH St
Suite 115
Naperville, IL 60564-8942

Phone

(630) 409-9700

Fax

(630) 409-9444

NPI assigned

Jun 13, 2009

Last updated

Jun 13, 2009By 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

Mary T Plonis, PSY.D.NPI 1154500452

Title

President

Phone

(630) 409-9700

Specialties & licenses 1

Addresses

Other names 1

• Naperville Clinical Services Other name

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.

• Mary Plonis, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1154500452
  Authorized official Same address or phone

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244851200000",
    "number": "1609003938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 W 95TH ST",
            "address_2": "SUITE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648942",
            "telephone_number": "630-409-9700",
            "fax_number": "630-409-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 W 95TH ST",
            "address_2": "SUITE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648942",
            "telephone_number": "630-409-9700",
            "fax_number": "630-409-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE CLINICAL SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-06-13",
        "status": "A",
        "authorized_official_last_name": "PLONIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-409-9700",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naperville Clinical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; 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.