Individual provider Active NPI

Mary Howard Schramer, PH.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1992753784
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005103 Issued in IL
Practice address
1331 W 75TH St Ste 201
Naperville, IL 60540-9311
Phone
(630) 646-6956
Fax
(630) 527-7139
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071.005103 IL
Clinical Psychologist 103TC0700X 071-005103 IL Primary

Addresses

Primary practice location

1331 W 75TH St Ste 201
Naperville, IL 60540-9311

Mailing address

1331 W 75TH St Ste 201
Naperville, IL 60540-9311
Phone (630) 646-6956

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mschramer50905@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000518 IL Practitioner - Clinical Psychologist 4284781097 Reassigns benefits to 2 organizations
Practice locations: Winfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

26 W171 Roosevelt Rd
Wheaton, IL 60187-6002
Phone (630) 909-7000

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-005103ILMDClinical Psychologist
071.005103ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures Clinical CurrentSince Apr 1, 2020 Accepting new patients
Central Dupage Physician Group Multi-Specialty CurrentSince Jun 7, 2023 Accepting new patients
Central Dupage Physician Group Multi-Specialty CurrentSince Jun 7, 2023 Accepting new patients
Edward Health Ventures Multi-Specialty CurrentSince Apr 1, 2020 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1331 W 75th St
Ste 201
Naperville, IL 60540
Phone (630) 420-1500

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

2007 95th St
Ste 105
Naperville, IL 60564
Phone (630) 646-6920

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

26W171 Roosevelt Rd
Wheaton, IL 60187
Phone (630) 462-4000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1992753784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-646-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-646-6956",
            "fax_number": "630-527-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMER",
        "first_name": "MARY",
        "middle_name": "HOWARD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.005103",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschramer50905@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1331 W 75th St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605409336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.