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Deactivated NPI 1639471808 Deactivated / Inactive NPI Male Practitioner

Malcolm Robert Haggerty , LCPC

Counselor - Professional • Elmhurst, IL

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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, Malcolm Haggerty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2010
NPI Deactivation Date January 06, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Malcolm Haggerty, LCPC was a registered Counselor - Professional practicing in Elmhurst, IL. Throughout an active medical career spanning 10 years, Malcolm Haggerty provided care at the practice location at 386 NORTH YORK ROAD until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

386 North York Road
Suite 204

Elmhurst, IL 601262365

Telephone 6308941557

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Elmhurst, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Elmhurst, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180-003-206

Definition to come...

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active January 29, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 29, 2017

Registered at 386 NORTH YORK ROAD, SUITE 204, ELMHURST, IL 601262365 (Tel: 6308941557)

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Updated Business Mailing Address January 29, 2017

Registered at 27W130 ROOSEVELT RD, WINFIELD, IL 601901611 (Tel: 7733143357)

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Provider Name / Credentials Updated January 29, 2017

Recorded as MALCOLM HAGGERTY, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2017

Counselor (License #180-003-206 in IL)

NPI Profile Active March 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2015

Registered at 386 NORTH YORK ROAD, SUITE 204, ELMHURST, IL 601262365 (Tel: 6308941557)

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Updated Business Mailing Address March 24, 2015

Registered at 27W130 ROOSEVELT RD, WINFIELD, IL 601901611 (Tel: 7733143357)

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Provider Name / Credentials Updated March 24, 2015

Recorded as MALCOLM HAGGERTY, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2015

Counselor (License #180-003-206 in IL)

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Initial NPI Registration & Enumeration November 22, 2010

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: 1639471808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2010
Last Update: March 24, 2015
Deactivation Date: January 06, 2020

Mailing Address

27w130 Roosevelt Rd

Winfield, IL 601901611

Phone: 7733143357

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.