Individual provider Active NPI

Mark A Vogel, PSYD

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1689635666
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005719 Issued in IL
Practice address
919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173-5144
Phone
(847) 413-9700
Fax
(847) 413-1701
NPI assigned
Mar 30, 2006
Last updated
Nov 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071005719 IL Primary

Addresses

Primary practice location

919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173-5144

Mailing address

919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173-5144
Phone (847) 413-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000049 IL Practitioner - Clinical Psychologist 9436196110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Growth Associates, Inc.Group PAC ID 8921058140, 13 clinicians

Practice addresses (Care Compare)

919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-4760
Phone (847) 413-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Associates, Inc. CurrentSince Feb 1, 2004 Accepting new patients

Locations

1095 Pingree Rd
Ste 210
Crystal Lake, IL 60014
Phone (847) 413-9700

820 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 444-1330

919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173
Phone (847) 413-9700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1689635666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N PLUM GROVE RD",
            "address_2": "STE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735144",
            "telephone_number": "847-413-9700",
            "fax_number": "847-413-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N PLUM GROVE RD",
            "address_2": "STE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735144",
            "telephone_number": "847-413-9700",
            "fax_number": "847-413-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.