DR. ROBERT IDA (NPI# 1225562986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225562986 |
Entity Type | Individual |
Full Name | DR. ROBERT IDA |
Credential | PSY.D. |
Practice Address |
1749 S Naperville Rd Suite 106 Wheaton IL 60189-5892 |
Practice Telephone | 6302608780 |
Practice Fax Number | 6309384697 |
Enumeration Date | 2017-04-19 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 071009564 | IL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
071009564 | IL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2445 Dean St Ste 1a, St Charles, IL 601754828 | 8477380250 |
Street Address |
1749 S NAPERVILLE RD SUITE 106 |
City | WHEATON |
State | IL |
Zip Code | 60189-5892 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730397589 | Dean A. Francis, D.d.s., P.C. | Dentist | 1749 S Naperville Rd, Suite # 102, Wheaton, IL 60187-8192 | 2007-05-17 |
1831577295 | Megan Rose Partington | Psychologist | 1749 S Naperville Rd, Suite 106, Wheaton, IL 60189-5892 | 2015-05-18 |
1538563523 | Sarah Amanda Romanovich | Chiropractor | 1749 S Naperville Rd, #207, Wheaton, IL 60189-5892 | 2014-10-20 |
1750707410 | Jon E Hughes | Counselor | 1749 S Naperville Rd, Suite 106, Wheaton, IL 60189-5892 | 2014-03-05 |
1629403019 | Christopher Nonnie | Counselor | 1749 S Naperville Rd, Suite 106, Wheaton, IL 60189-5892 | 2013-09-04 |
1225476443 | Joanna E Bloss | Counselor | 1749 S Naperville Rd, 106, Wheaton, IL 60189-5892 | 2013-06-10 |
1841575370 | Kathryn Yvette Catenacci | Counselor | 1749 S Naperville Rd, Suite 106, Wheaton, IL 60189-5892 | 2011-10-16 |
1811188816 | Complete Chiropractic Care PC | Clinic/Center | 1749 S Naperville Rd, Ste 207, Wheaton, IL 60187-8192 | 2007-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
Find all providers in zip 60189 |
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 |
---|---|---|---|---|
1629491097 | Kymberly Larson | Clinical Neuropsychologist | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2014-01-21 |
1467654004 | Linda R Sapin | Clinical Neuropsychologist | 2730 University Blvd W, Suite 410, Wheaton, MD 20902 | 2007-06-05 |
1689732752 | Patrick Walsh | Clinical Neuropsychologist | 26w171 Roosevelt Rd, Wheaton, IL 60187-6078 | 2006-12-04 |
1700954419 | Leslie Rogers | Clinical Neuropsychologist | 26w171 Roosevelt Rd, Wheaton, IL 60187-6078 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477183556 | Michelle Yvonne Kibby-faglier | Clinical Neuropsychologist | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | 2020-01-17 |
1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
1043877475 | Sarah Mailander Dyer | Clinical Neuropsychologist | 900 Royal Heights Rd Ste 14, Belleville, IL 62226-5457 | 2019-05-21 |
1639655632 | Julia Digangi | Clinical Neuropsychologist | 920 N York Rd, Hinsdale, IL 60521-2996 | 2018-07-13 |
1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
1538690466 | Kathleen Ares | Clinical Neuropsychologist | 4440 W 95th, Suite 1200h, Oak Lawn, IL 60453 | 2017-03-22 |
1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
1013462829 | Ann Westcot Jordan | Clinical Neuropsychologist | 21037 Benjamin Dr, Shorewood, IL 60404-0612 | 2016-08-22 |
1740638915 | Elizabeth Regina Tuminello Hartman | Clinical Neuropsychologist | 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2016-05-29 |
Find all providers with the same taxonomy |
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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.