Organization Active NPI

Maureen Stress PH.D., P.C.

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1609907625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
MAUREEN STRESS PH.D., P.C.
Practice address
1416 W Irving Park Rd
#3W
Chicago, IL 60613-4825
Phone
(773) 706-0940
Fax
(773) 935-5885
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maureen Stress Aquino, PH.D.
Title
President
Phone
(773) 706-0940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X IL Primary

Addresses

Primary practice location

1416 W Irving Park Rd
#3W
Chicago, IL 60613-4825

Mailing address

1416 W Irving Park Rd
#3W
Chicago, IL 60613-4825
Phone (773) 706-0940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609907625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 W IRVING PARK RD",
            "address_2": "#3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134825",
            "telephone_number": "773-706-0940",
            "fax_number": "773-935-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 W IRVING PARK RD",
            "address_2": "#3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134825",
            "telephone_number": "773-706-0940",
            "fax_number": "773-935-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN STRESS PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "STRESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-706-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.