PRAIRIE PSYCHOTHERAPY SERVICES LLC
NPI 1497067292
Psychologist - Clinical in Batavia, IL

Q: What is Prairie Psychotherapy Services LLC's NPI number?

The NPI number for Prairie Psychotherapy Services LLC is 1497067292. It was assigned to this organization in the NPPES registry on July 8, 2010.

Q: What is Prairie Psychotherapy Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 08, 2010

335 N RIVER ST, SUITE 210, BATAVIA, IL 60510(630) 879-8164 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prairie Psychotherapy Services Llc NPPES

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

PRAIRIE PSYCHOTHERAPY SERVICES LLC (NPI 1497067292) is a healthcare organization registered as a clinical in Batavia, Illinois and active in the NPI registry since July 2010. The organization lists Amy H. Macdonald, Owner, as its authorized official.

NPPES Registry Identity

NPI1497067292

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePRAIRIE PSYCHOTHERAPY SERVICES LLC

Location Address335 N RIVER ST, SUITE 210Batavia, IL 60510-2386

Mailing Address335 N River St #210Batavia, IL 60510 · (630) 879-8164

Phone(630) 879-8164

Organization SubpartNo

Authorized OfficialAmy H. MacdonaldOwner · (630) 879-8164

Enumeration DateJuly 8, 2010

Last NPPES UpdateNovember 30, 2023

NPPES CertifiedNovember 30, 2023

✔ NPI 1497067292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071005595

Definition

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.

335 N RIVER ST, Batavia, IL 60510

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Other Identifiers 1

Other4523298IL · Blue Cross Blue Shield Of Illinois

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Psychotherapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prairie Psychotherapy Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Amy Macdonald, PSY.D.

Clinical Psychologist

NPI 1881750495

335 N RIVER ST SUITE 210
Batavia, IL 60510

(630) 879-8164

✔ PECOS✔ Accepts MedicareSame address

Diane Mittelhauser, PSYD

Clinical Psychologist

NPI 1497815617

335 N RIVER ST STE 210
Batavia, IL 60510

(630) 879-8164

✔ PECOS0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prairie Psychotherapy Services LLC's NPI number?

The NPI number for Prairie Psychotherapy Services LLC is 1497067292. It was assigned to this organization in the NPPES registry on July 8, 2010.

Where is Prairie Psychotherapy Services LLC located?

Prairie Psychotherapy Services LLC is located at 335 N River St Suite 210, Batavia, IL 60510. The listed phone number is (630) 879-8164.

What is Prairie Psychotherapy Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Prairie Psychotherapy Services LLC enrolled in Medicare?

Yes. Prairie Psychotherapy Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Psychotherapy Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Prairie Psychotherapy Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prairie Psychotherapy Services LLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.