Organization Active NPI

Meredith McMahon PSYD LLC

  • Community/Behavioral Health Agency
  • Schaumburg, IL
National Provider Identifier
1659641934
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180007472 Issued in IL
Legal business name
MEREDITH MCMAHON PSYD LLC
Practice address
2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4188
Phone
(773) 575-6865
Fax
(847) 925-1355
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Meredith Elaine McMahon, PSYD, CADC, LCPC
Title
Psychologist
Phone
(773) 575-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180007472 IL Primary

Addresses

Primary practice location

2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4188

Mailing address

2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4188
Phone (773) 575-6865

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1659641934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E ALGONQUIN RD",
            "address_2": "SUITE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734188",
            "telephone_number": "773-575-6865",
            "fax_number": "847-925-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E ALGONQUIN RD",
            "address_2": "SUITE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734188",
            "telephone_number": "773-575-6865",
            "fax_number": "847-925-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH MCMAHON PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-575-6865",
        "authorized_official_credential": "PSYD, CADC, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180007472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.