Active NPI
Nicolas Comeau, PSY.D.
- Clinical Psychologist
- Naperville, IL
National Provider Identifier
1851865299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009947
- Practice address
- 1335 N Mill St
Naperville, IL 60563-2261 - Phone
- (630) 646-8068
- Fax
- (630) 646-5479
- NPI assigned
- Jan 18, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 071.009947 | IL | Primary |
Addresses
Primary practice location
1335 N Mill St
Naperville, IL 60563-2261
Mailing address
122 Sturtz St
Barrington, IL 60010-4432
Phone (847) 721-4625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009947 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1851865299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 STURTZ ST",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600104432",
"telephone_number": "847-721-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 N MILL ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632261",
"telephone_number": "630-646-8068",
"fax_number": "630-646-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAU",
"first_name": "NICOLAS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
- James Joseph Collins, MD
- Kathryn Stephanie Collins
- Kevin P Collins, M.D.
- Rhonda Renee Collins
- Anthony Thomas Coluzzi, PA-C
- Comfort Care Family Dental, PC
- Community Nursing & Rehabilitation Center LLC
- Compass Behavioral Health and Wellness, LLC
- Compassion Focused Counseling Center PLLC
- Compassionate Edge Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.