Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1831117241 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Rest , PhD

Psychologist - Clinical • Aurora, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Rest has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date September 25, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Rest, PhD was a registered Psychologist - Clinical practicing in Aurora, IL. Throughout an active medical career spanning 11 years, Dr. Rest provided care at the practice location at 3675 DARLENE CT until profile deactivation on 2017-09-25.

Historical Medicare Part B clinical services included neuropsychological testing, interpretation, and report by psychologist or physician per hour, psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3675 Darlene Ct
Suite B

Aurora, IL 605046521

Telephone 6305850039
Fax 6305851491
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Aurora, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
31 Specialists

Practicing in Aurora, IL (4140 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96118 Neuropsychological testing, interpretation, and report by psychologist or physician per hour
107 16 $248.83 $95.43
90837 Psychotherapy, 60 minutes
79 23 $200.00 $126.63
90791 Psychiatric diagnostic evaluation
27 27 $250.00 $118.19
96116 Exam of neurobehavioral status, first hour
16 15 $200.00 $93.85

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071-004560

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1689771495

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated September 25, 2017

Record deactivated on September 25, 2017

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Updated Practice Location January 20, 2017

Registered at 1809 NORTH MILL STREET, SUITE G, NAPERVILLE, IL 60563 (Tel: 6305850039)

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Updated Business Mailing Address January 20, 2017

Registered at 1809 NORTH MILL STREET, SUITE G, NAPERVILLE, IL 60563 (Tel: 6305850039)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3675 DARLENE CT, SUITE B, AURORA, IL 605046521 (Tel: 6305850039)

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Updated Business Mailing Address July 08, 2007

Registered at 3675 DARLENE CT, AURORA, IL 605046521 (Tel: 6305850039)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL REST, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #071-004560 in IL)

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Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831117241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: September 25, 2017

Mailing Address

3675 Darlene Ct

Aurora, IL 605046521

Phone: 6305850039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.