Individual provider Active NPI

Christina Anne Meyers, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1801011978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-003825 Issued in IL
Practice address
1350 Remington Rd
Suite M
Schaumburg, IL 60173-4831
Phone
(847) 882-3020
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

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 071-003825 IL Primary

Addresses

Primary practice location

1350 Remington Rd
Suite M
Schaumburg, IL 60173-4831

Mailing address

1350 Remington Rd
Suite M
Schaumburg, IL 60173-4831
Phone (847) 882-3020

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
I20121113000709 IL Practitioner - Clinical Psychologist 4183875503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

778 W Frontage Rd
Northfield, IL 60093-1209
Phone (847) 254-1193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-003825ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership in Personal Growth, P.C. Clinical CurrentSince Oct 15, 2012 Accepting new patients

Locations

778 W Frontage Rd
Northfield, IL 60093
Phone (312) 780-0820

1350 Remington Rd
Ste M
Schaumburg, IL 60173
Phone (630) 510-3966

Organizations & group practices 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801011978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 REMINGTON RD",
            "address_2": "SUITE M",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734831",
            "telephone_number": "847-882-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 REMINGTON RD",
            "address_2": "SUITE M",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734831",
            "telephone_number": "847-882-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "CHRISTINA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.