Individual provider Active NPI

Cynthia June Sementa, SSP

  • School Psychologist
  • Mundelein, IL
National Provider Identifier
1881107423
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
122 S Garfield Ave
Mundelein, IL 60060-2769
Phone
(847) 949-2714
Fax
(847) 949-2710
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

122 S Garfield Ave
Mundelein, IL 60060-2769

Mailing address

470 N Lake St
Mundelein, IL 60060-1825
Phone (847) 949-2714

Other practice location 1

855 W Hawley St
Mundelein, IL 60060-1615
Phone (847) 949-2707

Other practice location 2

1200 N Midlothian Rd
Mundelein, IL 60060-1146
Phone (847) 949-2712

Other practice location 3

200 W Maple Ave
Mundelein, IL 60060-1785
Phone (847) 949-2720

Other practice location 4

470 N Lake St
Mundelein, IL 60060-1825
Phone (847) 949-2714 ext. 2009

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

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881107423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601825",
            "telephone_number": "847-949-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GARFIELD AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602769",
            "telephone_number": "847-949-2714",
            "fax_number": "847-949-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 W Hawley St",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601615",
            "country_code": "US",
            "telephone_number": "847-949-2707",
            "fax_number": "847-949-2716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Midlothian Rd",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601146",
            "country_code": "US",
            "telephone_number": "847-949-2712",
            "fax_number": "847-949-2711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601785",
            "country_code": "US",
            "telephone_number": "847-949-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 N Lake St",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601825",
            "country_code": "US",
            "telephone_number": "847-949-2714 x2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMENTA",
        "first_name": "CYNTHIA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "SSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.