DR. MEHUL ALKESH TRIVEDI (NPI# 1144665993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144665993 |
| Entity Type | Individual |
| Full Name | DR. MEHUL ALKESH TRIVEDI |
| Credential | PH.D. |
| Practice Address |
315 W Carpenter St Fl 1 Springfield IL 62702-4901 |
| Mailing Address |
Po Box 19677 Springfield IL 62794-9677 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175450548 |
| Mailing Telephone | (217) 545-8000 |
| Mailing Fax Number | 2175450548 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071009347 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998906 | Mehul Trivedi | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-03-25 |
| 1245297134 | Mehul S Trivedi | Surgery | 319 S Manning Blvd, Suite 304, Albany, NY 12208-1742 | 2006-04-26 |
| 1740243799 | Mehul K Trivedi | Internal Medicine | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1313 | 2006-04-10 |
| Street Address |
315 W CARPENTER ST FL 1 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865294 | Meghna Ramesh Desai | Internal Medicine | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2005-10-17 |
| 1164087276 | Amanda M Clouser | Registered Nurse | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2019-05-03 |
| 1912160151 | Ruchika Goel | Pathology | 315 W Carpenter St Fl 1, Springfield, IL 62702 | 2008-07-08 |
| 1821191594 | Ping Zhang | Nurse Practitioner | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194850859 | Murrell Counseling Service, LLC | Clinical Neuropsychologist | 2200 E Sunshine St Ste 312, Springfield, MO 65804-1883 | 2007-02-22 |
| 1356424972 | Frederick A Ulam IIi | Clinical Neuropsychologist | 516 E Catalpa St, Springfield, MO 65807-1614 | 2006-10-24 |
| 1205864998 | Deborah A. Fein | Clinical Neuropsychologist | 155 Maple St, Suite 407, Springfield, MA 01105-1828 | 2006-06-29 |
| 1346294493 | Michelle Papka Puri | Clinical Neuropsychologist | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2006-05-22 |
| 1306843735 | Michael Whetstone | Clinical Neuropsychologist | 2115 S Fremont Ave Ste 3000, Springfield, MO 65804-2215 | 2005-06-30 |
| 1437773454 | Alphonso Smith | Clinical Neuropsychologist | 319 E Madison St Fl 3, Springfield, IL 62701-1035 | 2020-06-05 |
| 1093349888 | Lindsay Nguyen Vo | Clinical Neuropsychologist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-03-02 |
| 1992289425 | Jacob Levi Priluck | Clinical Neuropsychologist | 6120 Brandon Ave, Springfield, VA 22150-2522 | 2018-09-20 |
| 1295230431 | Jessica Di Marco | Clinical Neuropsychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2018-03-29 |
| 1205355542 | Jessica Degaetano | Clinical Neuropsychologist | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2017-09-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.