The Brain Boutique, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE BRAIN BOUTIQUE, PLLC

Practice address

50 S Main St Ste 200
Naperville, IL 60540-5485

Phone

(773) 401-0495

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Schnibben, PSY.D.

Title

Clinical Psychologist

Phone

(773) 401-0495

Specialties & licenses 2

Addresses

Practitioners 1

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

• Amanda Schnibben-Ringbloom, PSYD

  • Clinical Psychologist
  • Algonquin, IL
  • NPI 1316450281
  NPD

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1942899356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 GEORGETOWN DRIVE, OSWEGO, IL, USA",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435485",
            "telephone_number": "773-401-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405485",
            "telephone_number": "773-401-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN BOUTIQUE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-10-24",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHNIBBEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-401-0495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.