NPIMap

Organization Active NPI

St Marys Psychological Service, Inc

  • Psychologist
  • Des Plaines, IL
National Provider Identifier
1720370026
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
180-007684 Issued in IL
Legal business name
ST MARYS PSYCHOLOGICAL SERVICE, INC
Practice address
100 N River Rd
Des Plaines, IL 60016-1209
Phone
(847) 894-5169
NPI assigned
May 5, 2011
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. Maggie I Bishay, PSY.D.
Title
President
Phone
(847) 894-5169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 180-007684 IL Primary

Addresses

Primary practice location

100 N River Rd
Des Plaines, IL 60016-1209

Mailing address

20654 N Plumwood Dr
Kildeer, IL 60047-8500
Phone (847) 894-5169

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1720370026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20654 N PLUMWOOD DR",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600478500",
            "telephone_number": "847-894-5169",
            "fax_number": "312-255-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161209",
            "telephone_number": "847-894-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS PSYCHOLOGICAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "BISHAY",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-894-5169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "180-007684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.