Active NPI
Meier Clinics of Illinois, P.C.
- Clinical Psychologist
- Wheaton, IL
National Provider Identifier
1770523847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-004961
- Legal business name
- MEIER CLINICS OF ILLINOIS, P.C.
- Practice address
- 2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579 - Phone
- (630) 653-1717
- Fax
- (630) 653-1025
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Gandy
- Title
- Patient Accounts Rep
- Phone
- (630) 653-1717
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-002784 | IL | |
| Professional Counselor | 101YP2500X | 178-002670 | IL | |
| Professional Counselor | 101YP2500X | 180-003562 | IL | |
| Professional Counselor | 101YP2500X | 180-000578 | IL | |
| Professional Counselor | 101YP2500X | 180-000109 | IL | |
| Clinical Psychologist | 103TC0700X | 071-004961 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 071-006403 | IL | |
| Clinical Psychologist | 103TC0700X | 71006907 | IL | |
| Clinical Psychologist | 103TC0700X | 071-006321 | IL | |
| Clinical Psychologist | 103TC0700X | 071-004739 | IL | |
| Clinical Social Worker | 1041C0700X | 149-008735 | IL | |
| Clinical Social Worker | 1041C0700X | 149-007863 | IL | |
| Psychiatry Physician | 2084P0800X | 036-062772 | IL |
Addresses
Primary practice location
2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Mailing address
2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Phone (630) 653-1717
Other practice location 1
2450 W Fabyan Pkwy
Batavia, IL 60510-1576
Phone (630) 653-1717
Other names 1
- Meier Clinics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040228000026 | IL | Part B Supplier - Clinic/Group Practice | 5193612836 |
Receives reassigned benefits from 14 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wheaton, IL; Geneva, IL; Chicago, IL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Psychologist
- Bannockburn, IL
- NPI 1801842885
O20040228000026
National Provider Directory
National Provider Directory- Tax ID family
- Meier Clinics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Wheaton, IL
- NPI 1104834613
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Elmhurst, IL
- NPI 1255702684
-
- Counselor
- Hoffman Estates, IL
- NPI 1700594553
-
- Counselor
- Wheaton, IL
- NPI 1285355040
-
- Psychologist
- Wheaton, IL
- NPI 1710065412
-
- Psychiatric/Mental Health Nurse Practitioner
- Wheaton, IL
- NPI 1497259527
-
- Child & Adolescent Psychiatry Physician
- Wheaton, IL
- NPI 1376586800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1770523847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MANCHESTER RD",
"address_2": "SUITE 1510",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874579",
"telephone_number": "630-653-1717",
"fax_number": "630-653-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 MANCHESTER RD",
"address_2": "SUITE 1510",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874579",
"telephone_number": "630-653-1717",
"fax_number": "630-653-1025"
}
],
"practiceLocations": [
{
"address_1": "2450 W Fabyan Pkwy",
"address_purpose": "LOCATION",
"city": "Batavia",
"state": "IL",
"postal_code": "605101576",
"country_code": "US",
"telephone_number": "630-653-1717",
"fax_number": "630-653-7926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEIER CLINICS OF ILLINOIS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "GANDY",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PATIENT ACCOUNTS REP",
"authorized_official_telephone_number": "630-653-1717"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-002784",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178-002670",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-003562",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-000578",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-000109",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-004961",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-006403",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "71006907",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-006321",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-004739",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-008735",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-007863",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-062772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meier Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.