The Marriage Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149001914 Issued in IL

Legal business name

THE MARRIAGE CLINIC

Practice address

346 Taft Ave
Suite 030
Glen Ellyn, IL 60137-6296

Phone

(630) 690-3170

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John H. Amendt Jr., M.S.W.NPI 1801005665

Title

Owner

Phone

(630) 690-3170

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John H Amendt Jr., M.S.W.

  • Clinical Social Worker
  • Glen Ellyn, IL
  • NPI 1801005665

  Clinical

  NPD (past) Authorized official
• Erik Sean Youngstedt, LCPC

  • Professional Counselor
  • Glen Ellyn, IL
  • NPI 1619172244
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1609926005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 TAFT AVE",
            "address_2": "SUITE 030",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376296",
            "telephone_number": "630-690-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 TAFT AVE",
            "address_2": "SUITE 030",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376296",
            "telephone_number": "630-690-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARRIAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "AMENDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-690-3170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kuhlmann Taylor, MA, LMFT
• Jennifer Marie Taylor, MA, LCPC, SEP
• Joel A Tellinghuisen
• Teresa'S Place Adult Daycare Center Incorporated
• The Mansio Center, Inc.
• The Speech Therapy Studio LLC
• Erwin Thimm, MD
• Thomas R Gibbs DDS PC
• Anna Thomas, LMFT
• Subeena Thomas, DMD

• All providers in Glen Ellyn, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.