Active NPI
Jeana Lucarelli Ma Psy D Health Management, Inc
- Clinical Psychologist
- Buffalo Grove, IL
National Provider Identifier
1871998567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008715
- Legal business name
- JEANA LUCARELLI MA PSY D HEALTH MANAGEMENT, INC
- Practice address
- 318 W Half Day Rd Ste 326
Buffalo Grove, IL 60089-6547 - Phone
- (847) 903-9611
- Fax
- (847) 903-9611
- NPI assigned
- Oct 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jeana Lucarelli, PSY
- Title
- President
- Phone
- (847) 903-9611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008715 | IL | Primary |
Addresses
Primary practice location
318 W Half Day Rd Ste 326
Buffalo Grove, IL 60089-6547
Mailing address
318 W Half Day Rd Ste 326
Buffalo Grove, IL 60089-6547
Phone (847) 903-9611
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545782400000",
"number": "1871998567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W HALF DAY RD STE 326",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896547",
"telephone_number": "847-903-9611",
"fax_number": "847-903-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 W HALF DAY RD STE 326",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896547",
"telephone_number": "847-903-9611",
"fax_number": "847-903-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANA LUCARELLI MA PSY D HEALTH MANAGEMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2018-12-26",
"status": "A",
"authorized_official_last_name": "LUCARELLI",
"authorized_official_first_name": "JEANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-903-9611",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "PSY"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.