Power

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Legal business name

POWER

Practice address

682 W Boughton Rd Ste D
Bolingbrook, IL 60440-2199

Phone

(630) 398-6204

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Lateena Smith, EDSNPI 1326569963

Title

Owner/Psychologist Provider

Phone

(630) 398-6204

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lateena Smith, EDS

  • School Psychologist
  • Bolingbrook, IL
  • NPI 1326569963
  NPD Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1700389152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PICCADILLY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD STE D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402199",
            "telephone_number": "630-398-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LATEENA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST PROVIDER",
        "authorized_official_telephone_number": "630-398-6204",
        "authorized_official_credential": "EDS"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.