Organization Active NPI

Linda D. Small, PH.D and Associates

  • Psychiatry Physician
  • Downers Grove, IL
National Provider Identifier
1932364353
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-097047 Issued in IL
Legal business name
LINDA D. SMALL, PH.D AND ASSOCIATES
Practice address
6800 South Main Street
Suite 14
Downers Grove, IL 60516-3495
Phone
(630) 968-4300
Fax
(630) 968-4385
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Linda D Small, PH.D.NPI 1871628636
Title
Owner/Director
Phone
(630) 968-4300

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 036-097047 IL Primary

Addresses

Primary practice location

6800 South Main Street
Suite 14
Downers Grove, IL 60516-3495

Mailing address

6800 South Main Street
Suite 14
Downers Grove, IL 60516-3495
Phone (630) 968-4300

Other identifiers 1

IdentifierTypeStateIssuer
071-004196MedicaidIL

National Provider Directory

National Provider Directory

Locations

6800 Main St
Ste 14
Downers Grove, IL 60516
Phone (630) 929-0745

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1932364353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SOUTH MAIN STREET",
            "address_2": "SUITE 14",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163495",
            "telephone_number": "630-968-4300",
            "fax_number": "630-968-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SOUTH MAIN STREET",
            "address_2": "SUITE 14",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163495",
            "telephone_number": "630-968-4300",
            "fax_number": "630-968-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA D. SMALL, PH.D AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "630-968-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-097047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071-004196",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.