Cognitive Behavioral Care Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008363 Issued in IL

Legal business name

COGNITIVE BEHAVIORAL CARE INCORPORATED

Practice address

525 Dunham Rd Ste 55
St Charles, IL 60174-1490

Phone

(630) 464-7990

Fax

(630) 429-9419

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Maegan Jenkins, PSY.D.

Title

Owner

Phone

(630) 464-7990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1801375209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 DUNHAM RD STE 55",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741490",
            "fax_number": "630-429-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DUNHAM RD STE 55",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741490",
            "telephone_number": "630-464-7990",
            "fax_number": "630-429-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIORAL CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MAEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-464-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Burnett Clifford, DR EDD LCSW
• Denny Clouse, MSW/LCSW
• Kameron Nicole Cluchey, MSW, LCSW
• Erin Joan Cluts, MSW, LCSW
• Ann Cobb, PTA
• Monica Tyanne Colamatteo, PTA
• Cole Counseling, PLLC
• Jessica L Colon, RDN, LDN
• Community Therapy Corp
• Community Therapy Services

• Clinical Psychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.