Active NPI
Mary H Collins, PSY.D.
- Clinical Psychologist
- Arlington Heights, IL
National Provider Identifier
1881971612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008504
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 071008504 | IL | MD | Clinical Psychologist |
| 36100 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comhar Counseling | Current | Accepting new patients |
Locations
1430 N Arlington Heights Rd
Ste 114
Arlington Heights, IL 60004
Phone (210) 201-2933
Interoperability endpoints
- https://api.platform.athenahealth.com/2858/brand/1/csg/1/fhir/r4
- 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.
-
- Community/Behavioral Health Agency
- Arlington Heights, IL
- NPI 1528632007
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.