Individual provider Active NPI

Pooja Patel, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1699257105
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001178 Issued in IL
Practice address
1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126
Phone
(224) 269-4549
NPI assigned
Aug 30, 2018
Last updated
Mar 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.017989 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001178 IL Primary

Addresses

Primary practice location

1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126

Mailing address

PO Box 8012
Bartlett, IL 60103-8012
Phone (331) 465-9747

Other practice location 1

455 E Main St
East Dundee, IL 60118-1529
Phone (847) 428-2273

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424001258 IL Practitioner - Nurse Practitioner 8820330798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighter Life Behavioral Services P.CGroup PAC ID 5698189579, 5 clinicians

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 401
Schaumburg, IL 60173-5126
Phone (224) 269-4549

1701 E Woodfield Rd
Suite 435
Schaumburg, IL 60173-5129
Phone (224) 850-4689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017989ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Mind Counseling Services Inc Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Brighter Life Behavioral Services P.C Multi-Specialty CurrentSince Dec 9, 2020 Accepting new patients

Locations

1701 E Woodfield Rd
Ste 400
Schaumburg, IL 60173
Phone (224) 269-4551

1701 E Woodfield Rd
Ste 401
Schaumburg, IL 60173
Phone (224) 269-4549

1701 E Woodfield Rd
Ste 435
Schaumburg, IL 60173
Phone (224) 269-4549

1821 Walden Office Sq
Ste 400
Schaumburg, IL 60173
Phone (323) 488-4863

Organizations & group practices 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1699257105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8012",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038012",
            "telephone_number": "331-465-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735126",
            "telephone_number": "224-269-4549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 E Main St",
            "address_purpose": "LOCATION",
            "city": "East Dundee",
            "state": "IL",
            "postal_code": "601181529",
            "country_code": "US",
            "telephone_number": "847-428-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-03-30",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017989",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.