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Active NPI 1285641472 Organization (Entity Type 2)

Brian Timothy Madvig

Psychologist - Clinical • Wheaton, IL

About Brian Timothy Madvig NPI 1285641472 Summary

Brian Timothy Madvig is a verified healthcare organization specializing in Psychologist - Clinical operating in Wheaton, IL. Located at 1725 S NAPERVILLE RD, SUITE 207, this facility provides patient care and medical services under National Provider Identifier (NPI) 1285641472.

Administrative operations and authorized compliance are overseen by Brian Madvig (Owner).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1725 S Naperville Rd
Suite 207

Wheaton, IL 601878155

Telephone 6304627005
Fax 6304627006

Authorized Official Information

Authorized Contact Name

Brian Madvig , PH.D.

Title / Role

Owner

Official Telephone

6304627005

Facility Classifications & Specialties

Psychologist - Clinical Primary Taxonomy

NUCC Taxonomy Code: 103TC0700X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked

Nurse Practitioner - Psychiatric/Mental Health

Wheaton, IL

View Practitioner Profile →

Psychologist - Clinical

Wheaton, IL

View Practitioner Profile →
Linda Madsen , LCSW NPI 1114984002

Social Worker - Clinical

Wheaton, IL

View Practitioner Profile →

Psychologist - Clinical

Wheaton, IL

View Practitioner Profile →
Cyndi Bodmer , LCPC NPI 1134183551

Counselor - Professional

Wheaton, IL

View Practitioner Profile →

Psychologist - Clinical

Wheaton, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2008

Registered at 1725 S NAPERVILLE RD, SUITE 207, WHEATON, IL 601878155 (Tel: 6304627005)

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Updated Business Mailing Address June 17, 2008

Registered at 1725 S NAPERVILLE RD, SUITE 207, WHEATON, IL 601878155 (Tel: 6304627005)

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Organization / Clinic Name Updated June 17, 2008

Operating as BRIAN TIMOTHY MADVIG

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Psychologist (License #071-005079 in IL)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1285641472
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 01, 2006
Last Update: June 17, 2008

Mailing Address

1725 S Naperville Rd, Suite 207

Wheaton, IL 601878155

Phone: 6304627005

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.