Plum Tree Psychology LTD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

071007631 Issued in IL

Legal business name

PLUM TREE PSYCHOLOGY LTD

Practice address

511 Illinois Ave
Saint Charles, IL 60174-2152

Phone

(630) 549-6245

Fax

(630) 701-9500

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ann Weller, PSYD

Title

Owner

Phone

(630) 549-6245

Specialties & licenses 1

Addresses

Other names 1

• Plum Tree Child & Adolescent Psychology Doing business as

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1962954495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ILLINOIS AVENUE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ILLINOIS AVE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742152",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM TREE PSYCHOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-549-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071007631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Tree Child & Adolescent Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plum Tree Child & Adolescent Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physiotherapy Associates Inc
• Maria Pica, O.D.
• Michael Pica, PSY.D.
• Kimberly Pieczynski, N.P.
• Carla A Pignataro, PT
• Cindy Poegel, MA, CCC-SLP/L
• David Pokrywiecki
• Anthony Vincent Pollastrini, D.P.M.
• Elizabeth Ellen Pollina
• Nancy Portillo, D.C.

• Clinical Child & Adolescent Psychologist in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.