NEUROBEHAVIORAL GROUP PC (NPI# 1992051130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992051130 |
| Entity Type | Organization |
| Organization Name | NEUROBEHAVIORAL GROUP PC |
| Practice Address |
1755 Park St #200 Naperville IL 60563-4861 |
| Practice Telephone | 6304494270 |
| Practice Fax Number | 6308202358 |
| Mailing Telephone | 6304494270 |
| Mailing Fax Number | 6308202358 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | MICHELLE R MYERS (OWNER) |
| Authorized Official Telephone | 7739724248 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071007744 | IL | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 071007744 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PTAN | IL8063 | 01 |
| Street Address |
1755 PARK ST #200 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225098445 | Leslie S Mcilvried | Nurse Practitioner | 1755 Park St, Suite #300, Naperville, IL 60563-4861 | 2006-03-23 |
| 1932636339 | Leslie Mcilvried Aprn Bc LLC | Nurse Practitioner | 1755 Park St, Naperville, IL 60563-4861 | 2017-05-16 |
| 1700277563 | Monica A Schmitt, Psy.d., LLC | Psychologist | 1755 Park St, Ste 300, Naperville, IL 60563-4861 | 2015-02-13 |
| 1962814178 | D. Gordon & Associates | Community/Behavioral Health | 1755 Park St, Suite 225, Naperville, IL 60563-4861 | 2014-05-22 |
| 1841540572 | Jill Marie Hooten | Counselor | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2012-09-10 |
| 1497005128 | Lauren Ashley Pac | Counselor | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2012-09-10 |
| 1386930436 | Amy Helen Bilka | Counselor | 1755 Park St, Suite 300, Naperville, IL 60563-4861 | 2011-06-27 |
| 1245540640 | Susan Samuel | Psychologist | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2010-10-19 |
| 1699092494 | Northern Star Mgmt Inc | General Practice | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2010-05-03 |
| 1699980979 | Susan Marie Riley | Counselor | 1755 Park St, Suite 300, Naperville, IL 60563-4861 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073727038 | Patrice Paul | Clinical Neuropsychologist | 500 E Ogden Ave, Kuhn Counseling Center, Naperville, IL 60563-3213 | 2007-05-09 |
| 1578598462 | J. Preston Harley | Clinical Neuropsychologist | 3155 Book Rd, Suite 103, Naperville, IL 60564-9545 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183556 | Michelle Yvonne Kibby-faglier | Clinical Neuropsychologist | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | 2020-01-17 |
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1043877475 | Sarah Mailander Dyer | Clinical Neuropsychologist | 900 Royal Heights Rd Ste 14, Belleville, IL 62226-5457 | 2019-05-21 |
| 1639655632 | Julia Digangi | Clinical Neuropsychologist | 920 N York Rd, Hinsdale, IL 60521-2996 | 2018-07-13 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1538690466 | Kathleen Ares | Clinical Neuropsychologist | 4440 W 95th, Suite 1200h, Oak Lawn, IL 60453 | 2017-03-22 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1013462829 | Ann Westcot Jordan | Clinical Neuropsychologist | 21037 Benjamin Dr, Shorewood, IL 60404-0612 | 2016-08-22 |
| 1740638915 | Elizabeth Regina Tuminello Hartman | Clinical Neuropsychologist | 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2016-05-29 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.