Healthcare Provider Details

I. General information

NPI: 1659259430
Provider Name (Legal Business Name): HEARTHSTONE PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 EXECUTIVE PL STE F400
GENEVA IL
60134-2415
US

IV. Provider business mailing address

1245 EXECUTIVE PL STE F400
GENEVA IL
60134-2415
US

V. Phone/Fax

Practice location:
  • Phone: 630-913-1340
  • Fax:
Mailing address:
  • Phone: 630-913-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL R SATHER
Title or Position: PRESIDENT
Credential: PHD
Phone: 630-913-1340