THE PRAIRIE CLINIC
NPI 1184863847
Psychologist - Clinical Child & Adolescent in Geneva, IL

Active since February 19, 2009
1541 E FABYAN PKWY, SUITE 101, GENEVA, IL 60134(630) 845-9644(630) 845-9678 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Prairie Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PRAIRIE CLINIC (NPI 1184863847) is a healthcare organization registered as a clinical child & adolescent in Geneva, Illinois and active in the NPI registry since February 2009. The organization lists Stacey M Wahlberg, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184863847
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameTHE PRAIRIE CLINIC
Location Address1541 E FABYAN PKWY, SUITE 101Geneva, IL 60134-4105
Mailing Address1541 E Fabyan Pkwy, Suite 101Geneva, IL 60134-4105 · (630) 845-9644 · Fax (630) 845-9678
Fax(630) 845-9678
Organization SubpartNo
Authorized OfficialStacey M WahlbergOffice Manager · (630) 845-9644
Enumeration DateFebruary 19, 2009
NPI 1184863847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in IL · 071006627
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1541 E FABYAN PKWY, Geneva, IL 60134

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1541 E FABYAN PKWY, SUITE 101
GENEVA, IL 60134
Psychologist (Clinical)
1541 E FABYAN PKWY, SUITE 100
GENEVA, IL 60134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Prairie Clinic's NPI number?

The NPI number for The Prairie Clinic is 1184863847. It was assigned to this organization in the NPPES registry on February 19, 2009.

Where is The Prairie Clinic located?

The Prairie Clinic is located at 1541 E Fabyan Pkwy Suite 101, Geneva, IL 60134. The listed phone number is (630) 845-9644.

What is The Prairie Clinic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for The Prairie Clinic was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.