Audrey Nauta Margol, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008278 Issued in IL

Practice address

825 E Golf Rd
Suite 1127
Arlington Heights, IL 60005-5700

Phone

(847) 981-9200

Fax

(847) 981-9322

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1962668020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GOLF RD",
            "address_2": "SUITE 1127",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055700",
            "telephone_number": "847-981-9200",
            "fax_number": "847-981-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E GOLF RD",
            "address_2": "SUITE 1127",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055700",
            "telephone_number": "847-981-9200",
            "fax_number": "847-981-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOL",
        "first_name": "AUDREY",
        "middle_name": "NAUTA",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Marcin, APRN FPA, CNM, LAC
• Bianca Marcu
• Snonita Marcus, LCSW
• Amy Kathryn Maren, OTR/L
• Margaret a Couch LCSW & Associates, LLC
• Lawrence Noel Margolies, M.D.
• David P Margolis, LCPC
• Natalie Ann Mariani, DDS
• Marianna Tsaran MD SC
• Mark D Forrestal MD SC

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.