Individual provider Active NPI

Denise Legacki Tompkins, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Naperville, IL
National Provider Identifier
1881876480
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
71006304 Issued in IL
Practice address
1801 N Mill St
Suite C
Naperville, IL 60563-1274
Phone
(630) 717-5911
Fax
(630) 717-9140
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 71006304 IL Primary

Addresses

Primary practice location

1801 N Mill St
Suite C
Naperville, IL 60563-1274

Mailing address

1801 N Mill St
Suite C
Naperville, IL 60563-1274
Phone (630) 717-5911

Other identifiers 1

IdentifierTypeStateIssuer
02232064OtherILBLUE CROSS PROVIDER NUMBE

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

State licenses

LicenseStateTypeSpecialty
71006304ILMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Legacki Tompkins, Psy.D. & Assoc. LTD. Clinical Child & Adolescent Past Accepting new patients
Neal R. Bowen, Psy.D., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1881876480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N MILL ST",
            "address_2": "SUITE C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631274",
            "telephone_number": "630-717-5911",
            "fax_number": "630-717-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N MILL ST",
            "address_2": "SUITE C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631274",
            "telephone_number": "630-717-5911",
            "fax_number": "630-717-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "DENISE",
        "middle_name": "LEGACKI",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "71006304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "02232064",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.