Individual provider Active NPI

Margaret Pechota, PHD

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1760408488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
128 Newberry Ave
Libertyville, IL 60048-1923
Phone
(708) 989-3447
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

128 Newberry Ave
Libertyville, IL 60048-1923

Mailing address

3428 Oak Park Ave
Berwyn, IL 60402-3617
Phone (708) 788-3447

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
I20070131000526 IL Practitioner - Clinical Psychologist 3274535471 Practice locations: Crystal Lake, IL; La Grange, IL; Riverside, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8600 US Hwy 14
Suite 205a
Crystal Lake, IL 60012-2707
Phone (630) 964-4552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.007029ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark and Carol Solomon PTR Clinical Past Accepting new patients
Margaret Nelson Pechota, PHD Clinical Past Accepting new patients

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760408488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023617",
            "telephone_number": "708-788-3447",
            "fax_number": "708-788-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NEWBERRY AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481923",
            "telephone_number": "708-989-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHOTA",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.