CHRISANTHA ANANDAPPA MD (NPI# 1376058016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376058016 |
| Entity Type | Organization |
| Organization Name | CHRISANTHA ANANDAPPA MD |
| Practice Address |
2500 W Bradley Pl Ste 100 Chicago IL 60618-4716 |
| Mailing Address |
702 Asbury Ave Evanston IL 60202-2135 |
| Practice Telephone | 7736490759 |
| Practice Fax Number | 2242053757 |
| Mailing Telephone | 7085571930 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. CHRISANTHA E ANANDAPPA (PHYSICIAN) |
| Authorized Official Telephone | 7085571930 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4301092315 | MI | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
036.132734 | IL | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Revere Dr Ste 100, Northbrook, IL 600621590 | 2243061879 | 2242053757 |
| Street Address |
2500 W BRADLEY PL STE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154582385 | Chrisantha Ernest Anandappa | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2008-06-20 |
| 1134730963 | Dr Ann Chakkalakal Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-14 |
| 1629689393 | Dr Renee Luburic Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-14 |
| 1306457445 | Renee Luburic Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-12 |
| 1366053449 | Ann Chakkalakal Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-12 |
| 1073147252 | Crystal Cole Pmhnp-bc LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-02-26 |
| 1154955334 | Crystal Lynn Cole Pmhnp-bc LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-02-26 |
| 1093352098 | Felisha Harmon Aprn-bc LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-12-09 |
| 1992342992 | Felisha Marie Harmon Aprn-bc LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-12-09 |
| 1821658527 | Dana Eason, Apn, LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| 1437776879 | Vesna Healing, LLC | Clinic/Center | 1225 W Morse Ave Apt 203, Chicago, IL 60626-5675 | 2020-07-01 |
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1437771979 | Healthy Mind and Body LLC | Clinic/Center | 10540 S Western Ave Ste 507, Chicago, IL 60643-2529 | 2020-05-07 |
| 1346877412 | Mind Body Center | Clinic/Center | 2551 N Clark St Ste 301, Chicago, IL 60614-7732 | 2020-03-26 |
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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.