Organization Active NPI

Nancy J Litz, LLC

  • Clinical Psychologist
  • Glen Ellyn, IL
National Provider Identifier
1760668727
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NANCY J LITZ, LLC
Practice address
45 S Park Blvd Ste 355
Glen Ellyn, IL 60137-6283
Phone
(630) 469-6697
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Tina Bombard
Title
Billing Manager
Phone
(630) 897-6851

Specialties & licenses 1

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

Addresses

Primary practice location

45 S Park Blvd Ste 355
Glen Ellyn, IL 60137-6283

Mailing address

45 S Park Blvd Ste 355
Glen Ellyn, IL 60137-6283

Other identifiers 2

IdentifierTypeStateIssuer
DG7517OtherILRAIL ROAD MEDICARE
2232634OtherILBCBS

National Provider Directory

National Provider Directory

Locations

45 S Park Blvd
Ste 355
Glen Ellyn, IL 60137
Phone (630) 469-6697

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1760668727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK BLVD STE 355",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S PARK BLVD STE 355",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376283",
            "telephone_number": "630-469-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J LITZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BOMBARD",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-897-6851"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DG7517",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2232634",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.