Mayte Guerra, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010220 Issued in IL

Practice address

675 W North Ave Ste 306
Melrose Park, IL 60160-1623

Phone

(847) 329-9210

Fax

(773) 347-2656

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Illinois Behavioral Health Group, P.C.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1881392678
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1801426507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465728",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 306",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601623",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MAYTE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Greaves, MSW
• Sarah Grebasch, LCSW
• Jacqueline Marcella Greene-Roper, MD
• Inbar Greenfeld-Tairy, PSYD.
• William G Grehan, MD
• Denise Guerrero
• Qian Guo, M.D
• Dawn R Hackel, DPM
• Hai Solomon M.D.S.C.
• Shaniquia Hall, MHP

• Clinical Psychologist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.