Organization Active NPI

Jeana Lucarelli Ma Psy D Health Management, Inc

  • Clinical Psychologist
  • Buffalo Grove, IL
National Provider Identifier
1871998567
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008715 Issued in IL
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

Updated by the provider on Dec 26, 2018

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.