Organization Active NPI

Rewired Path Psychology, PLLC

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1700700994
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
REWIRED PATH PSYCHOLOGY, PLLC
Practice address
300 E 5TH Ave Ste 235
Naperville, IL 60563-3194
Phone
(630) 937-3362
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Amanda Stagg, PSYD
Title
Managing Member
Phone
(630) 937-3362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

300 E 5TH Ave Ste 235
Naperville, IL 60563-3194

Mailing address

300 E 5TH Ave Ste 235
Naperville, IL 60563-3194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1700700994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 5TH AVE STE 235",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 5TH AVE STE 235",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633194",
            "telephone_number": "630-937-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED PATH PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-09",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "630-937-3362",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.