NPIMap

Organization Active NPI

Meier Clinics of Illinois, P.C.

Doing business as Meier Clinics

  • Clinical Psychologist
  • Bannockburn, IL
National Provider Identifier
1801842885
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MEIER CLINICS OF ILLINOIS, P.C.
Doing business as
Meier Clinics
Practice address
2275 Half Day Rd
Suite 350
Bannockburn, IL 60015-1217
Phone
(630) 653-1717
Fax
(630) 653-1025
NPI assigned
May 25, 2006
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Heather Gandy
Title
Chief Financial Officer
Phone
(630) 653-1717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary
Clinical Social Worker 1041C0700X IL

Addresses

Primary practice location

2275 Half Day Rd
Suite 350
Bannockburn, IL 60015-1217

Mailing address

2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Phone (630) 653-1717

Other names 1

  • Meier Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000026 IL Part B Supplier - Clinic/Group Practice 5193612836 Receives reassigned benefits from 14 practitioners
5 other NPIs on this 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.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1801842885",
    "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": "2275 HALF DAY RD",
            "address_2": "SUITE 350",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151217",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIER CLINICS OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-653-1717"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meier Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.

Verify at the official NPI Registry.