Sparrow'S Spring Clinical Services, LTD.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001002 Issued in IL

Legal business name

SPARROW'S SPRING CLINICAL SERVICES, LTD.

Practice address

75 Executive Dr
Suite 401F
Aurora, IL 60504-8137

Phone

(630) 200-9468

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Monica E Kannenwischer

Title

President and Owner

Phone

(630) 200-9468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1881131092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE 401F",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "630-200-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE 401F",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "630-200-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW'S SPRING CLINICAL SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "KANNENWISCHER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "630-200-9468"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.