Monica E Muciaccia Chovanec

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2000836 Issued in IL

Practice address

1440 Renaissance Dr Ste 125
Park Ridge, IL 60068-1414

Phone

(224) 585-3312

Fax

(224) 585-3619

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bridgeway Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Ridge, IL
  • NPI 1659039857

  Single Specialty

  NPD
• Willoughby Center for Behavioral Health, LLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1700257581

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1922766682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E SIBLEY ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683461",
            "telephone_number": "847-637-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR STE 125",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681414",
            "telephone_number": "224-585-3312",
            "fax_number": "224-585-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCIACCIA CHOVANEC",
        "first_name": "MONICA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2000836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Motta, PA-C
• Motus Physical Therapy PLLC
• Margaret Moulton, MSW, LCSW
• John J Moy, MD
• Mpowered Smiles Orthodontics, P.C.
• Krishna R Mudimbi, M.D
• Amanda Mulcrone, M.D.
• Donna Mullahy, PA-C
• Victor Munoz, M.D.
• Christina Danielle Munro, LSW

• School Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.