Organization Active NPI

Reinke Psychological Services PC

  • Clinical Psychologist
  • Bartlett, IL
National Provider Identifier
1891004149
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006857 Issued in IL
Legal business name
REINKE PSYCHOLOGICAL SERVICES PC
Practice address
806 W Bartlett Rd
Suite 202
Bartlett, IL 60103-4400
Phone
(630) 709-9449
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Rebecca Reinke, PSY.D.NPI 1336213081
Title
President, Clinical Psychologist
Phone
(630) 709-9449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071006857 IL Primary

Addresses

Primary practice location

806 W Bartlett Rd
Suite 202
Bartlett, IL 60103-4400

Mailing address

PO Box 8211
Bartlett, IL 60103-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315001003 IL Part B Supplier - Clinic/Group Practice 8820270697 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, IL

National Provider Directory

National Provider Directory

Locations

806 W Bartlett Rd
Ste 202
Bartlett, IL 60103
Phone (630) 709-9449

984 S Bartlett Rd
Bartlett, IL 60103
Phone (630) 736-7370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1891004149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8211",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W BARTLETT RD",
            "address_2": "SUITE 202",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034400",
            "telephone_number": "630-709-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINKE PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "REINKE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-709-9449",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.