Active NPI
Maggie Beitler, PSYD
- Clinical Psychologist
- Highland Park, IL
National Provider Identifier
1831871003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007827
- Practice address
- 210 Skokie Valley Rd Ste 1
Highland Park, IL 60035-4464 - Phone
- (847) 915-6078
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007827 | IL | Primary |
Addresses
Primary practice location
210 Skokie Valley Rd Ste 1
Highland Park, IL 60035-4464
Mailing address
1556 Tower Rd
Winnetka, IL 60093-1331
Phone (312) 933-4337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007827 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1831871003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1556 TOWER RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931331",
"telephone_number": "312-933-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SKOKIE VALLEY RD STE 1",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600354464",
"telephone_number": "847-915-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEITLER",
"first_name": "MAGGIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.