Chicagoland Cognitive Assessment Center, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

CHICAGOLAND COGNITIVE ASSESSMENT CENTER, LLC

Practice address

1300 W Belmont Ave Ste 205
Chicago, IL 60657-3240

Phone

(773) 420-9499

NPI assigned

Apr 30, 2024

Organization subpart

No

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

Authorized official

Name

Maia Feigon, PHDNPI 1265880975

Title

Owner

Phone

(773) 420-9499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Maia Feigon, PHD

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1265880975
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Rao, PH.D.

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1477933752
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1609622596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573240",
            "telephone_number": "773-420-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573240",
            "telephone_number": "773-420-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND COGNITIVE ASSESSMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "FEIGON",
        "authorized_official_first_name": "MAIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-420-9499",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.