Individual provider Active NPI

Mary H Collins, PSY.D.

  • Clinical Psychologist
  • Arlington Heights, IL
National Provider Identifier
1881971612
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008504 Issued in IL
Practice address
1430 N Arlington Heights Rd Ste 114
Arlington Heights, IL 60004-4823
Phone
(210) 201-2933
NPI assigned
Nov 8, 2011
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36100 TX
Clinical Psychologist 103TC0700X 071008504 IL Primary

Addresses

Primary practice location

1430 N Arlington Heights Rd Ste 114
Arlington Heights, IL 60004-4823

Mailing address

1510 Longvalley Rd
Glenview, IL 60025-5125
Phone (847) 513-2532

Other practice location 1

405 N Wabash Ave
Suite 1114
Chicago, IL 60611-3591
Phone (847) 513-2532

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@ComharCounseling.com Direct

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008504ILMDClinical Psychologist
36100TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comhar Counseling CurrentSince May 25, 2021 Accepting new patients

Locations

1430 N Arlington Heights Rd
Ste 114
Arlington Heights, IL 60004
Phone (210) 201-2933

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2858/brand/1/csg/1/fhir/r4
  • Direct secure messaging: info@comharcounseling.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1881971612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 LONGVALLEY RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255125",
            "telephone_number": "847-513-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD STE 114",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044823",
            "telephone_number": "210-201-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Wabash Ave",
            "address_2": "Suite 1114",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113591",
            "country_code": "US",
            "telephone_number": "847-513-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@ComharCounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1430 N Arlington Heights Rd Ste 114",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600044823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.