Individual provider Active NPI

Margaret Slavich, PSY.D.

  • Clinical Psychologist
  • St Charles, IL
National Provider Identifier
1700453107
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-010540 Issued in IL
Practice address
40W222 Lafox Rd Ste H1
St Charles, IL 60175-7631
Phone
(630) 549-6497
Fax
(630) 549-0942
NPI assigned
Jun 5, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 071-010540 IL Primary

Addresses

Primary practice location

40W222 Lafox Rd Ste H1
St Charles, IL 60175-7631

Mailing address

1118 Duxbury LN
Schaumburg, IL 60193-2620
Phone (269) 267-7112

Other practice location 1

127 S 1st St Ste 105
Geneva, IL 60134-2644
Phone (630) 549-6497 ext. 705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071-010540ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Pica P.C. CurrentSince Apr 24, 2019 Accepting new patients
Rosecrans & Associates PLLC Past Accepting new patients

Locations

127 S 1st St
Ste 105
Geneva, IL 60134
Phone (630) 549-6497

40W222 Lafox Rd
Ste H1
St Charles, IL 60175
Phone (630) 444-0082

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": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1700453107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 DUXBURY LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932620",
            "telephone_number": "269-267-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD STE H1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757631",
            "telephone_number": "630-549-6497",
            "fax_number": "630-549-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S 1st St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342644",
            "country_code": "US",
            "telephone_number": "630-549-6497 x705",
            "fax_number": "630-549-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVICH",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-010540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.