Individual provider Active NPI

M Stagno

  • Health Service Psychologist
  • Schaumburg, IL
National Provider Identifier
1750446720
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
071-005066 Issued in IL
Practice address
1375 E Schaumburg Rd
Schaumburg, IL 60194-5166
Phone
(847) 895-4540
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005066 IL
Health Service Psychologist 103TH0100X 071-005066 IL Primary

Addresses

Primary practice location

1375 E Schaumburg Rd
Schaumburg, IL 60194-5166

Mailing address

1375 E Schaumburg Rd
Schaumburg, IL 60194-5166
Phone (847) 895-4540

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001327 IL Practitioner - Clinical Psychologist 2062504004 Reassigns benefits to 1 organization
Practice locations: Hoffman Estates, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare Providers LTDGroup PAC ID 5395084297, 6 clinicians

Practice addresses (Care Compare)

1375 E Schaumburg Rd
Suite 230
Schaumburg, IL 60194-3658

1375 E Schaumburg Rd
Suite 240
Schaumburg, IL 60194-3643
Phone (847) 895-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005066ILMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: behavioralhealthcareproviders.marilynstagno@147503.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1750446720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601945166",
            "telephone_number": "847-895-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601945166",
            "telephone_number": "847-895-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGNO",
        "first_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005066",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071-005066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.