Healthcare Provider Details

I. General information

NPI: 1003467499
Provider Name (Legal Business Name): ROSECRANS & ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 MERCHANT DR STE C
ALGONQUIN IL
60102-5917
US

IV. Provider business mailing address

1457 MERCHANT DR STE C
ALGONQUIN IL
60102-5917
US

V. Phone/Fax

Practice location:
  • Phone: 847-461-8414
  • Fax: 847-461-8387
Mailing address:
  • Phone: 847-461-8414
  • Fax: 847-461-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGAN ROSECRANS
Title or Position: PRESIDENT/LICENSED CLINICAL HEALTH
Credential: PSY.D.
Phone: 630-347-8585