Individual provider Active NPI

Lynda Marie Behrendt, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1831182534
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005896 Issued in IL
Practice address
1340 Remington Rd
Suite T
Schaumburg, IL 60173-4814
Phone
(847) 254-1000
Fax
(847) 543-1675
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 071005896 IL
Clinical Psychologist 103TC0700X 071005896 IL Primary
Health Psychologist 103TH0004X 071-005896 IL

Addresses

Primary practice location

1340 Remington Rd
Suite T
Schaumburg, IL 60173-4814

Mailing address

PO Box 143
Round Lake Beach, IL 60073-4130
Phone (847) 254-1000

Other identifiers 1

IdentifierTypeStateIssuer
01632734OtherILBC/BS

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
I20040218000304 IL Practitioner - Clinical Psychologist 9830084953 Reassigns benefits to 1 organization
Practice locations: Glenview, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2222 Chestnut Ave
Suite 303
Glenview, IL 60026-1600
Phone (847) 254-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071005896ILMDCognitive & Behavioral Psychologist
071-005896ILMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Athans, PH.D. and Associates, LTD. Clinical CurrentSince Oct 1, 2015 Accepting new patients

Locations

32 Main St
Ste D
Park Ridge, IL 60068
Phone (847) 823-4444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1831182534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600734130",
            "telephone_number": "847-254-1000",
            "fax_number": "847-543-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 REMINGTON RD",
            "address_2": "SUITE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734814",
            "telephone_number": "847-254-1000",
            "fax_number": "847-543-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENDT",
        "first_name": "LYNDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071005896",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005896",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IL",
            "license": "071-005896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01632734",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.