NPIMap

Organization Active NPI

Margaret Nelson Pechota, PHD

  • Clinical Psychologist
  • Riverside, IL
National Provider Identifier
1942580790
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007029 Issued in IL
Legal business name
MARGARET NELSON PECHOTA, PHD
Practice address
28 E Burlington St
Riverside, IL 60546-2125
Phone
(708) 788-3447
Fax
(708) 788-4471
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Dr. Margaret Nelson Pechota, PH.D.NPI 1760408488
Title
Clinical Psychologist
Phone
(708) 788-3447

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.000658 IL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071.007029 IL Primary

Addresses

Primary practice location

28 E Burlington St
Riverside, IL 60546-2125

Mailing address

3428 Oak Park Ave
Berwyn, IL 60402-3617
Phone (708) 788-3447

Other names 1

  • Agape Psychology Center Doing business as

National Provider Directory

National Provider Directory

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1942580790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023617",
            "telephone_number": "708-788-3447",
            "fax_number": "708-788-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E BURLINGTON ST",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462125",
            "telephone_number": "708-788-3447",
            "fax_number": "708-788-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET NELSON PECHOTA, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "PECHOTA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-788-3447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.000658",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.