DR. NAGA PUSHPA GUNTUPALLI (NPI# 1518340231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518340231 |
| Entity Type | Individual |
| Full Name | DR. NAGA PUSHPA GUNTUPALLI |
| Credential | MD |
| Practice Address |
400 N Wall St Ste B402 Kankakee IL 60901-2940 |
| Practice Telephone | 8159371237 |
| Practice Fax Number | 8159330662 |
| Mailing Telephone | 8159371237 |
| Mailing Fax Number | 8159330662 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036148184 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
262517 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036148184 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Butterfield Trl, Kankakee, IL 609012959 | 8159366500 | 8159366502 |
| 400 S Kennedy Dr Ste 200, Bradley, IL 609152686 | 8159371237 | 8159330662 |
| 400 N Wall St Ste B402, Kankakee, IL 609012940 | 8159371237 | 8159330662 |
| Street Address |
400 N WALL ST STE B402 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719534 | Mary E Belford | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901 | 2005-08-31 |
| 1043828544 | Mona Lisa Pua | Nurse Practitioner | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2020-07-21 |
| 1811383334 | Mayurika Narayan Pise | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2015-04-10 |
| 1306259817 | Khalid Naveed Arshad | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2014-06-03 |
| 1780002360 | Timothy George Yovankin | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2014-04-01 |
| 1659717437 | Melissa Rosenow | Psychologist | 400 N Wall St Ste B402, Kankakee, IL 60901 | 2013-05-20 |
| 1558620146 | Raunak Sunil Khisty | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2012-05-16 |
| 1033435557 | Jessica M Azoff | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669601712 | Hong Cao | Psychiatry & Neurology | 500 N Wall St Ste 200, Kankakee, IL 60901-2942 | 2009-07-10 |
| 1205054608 | Shital Tapan Mehta | Psychiatry & Neurology | 275 E Court St, Suite 102, Kankakee, IL 60901-3838 | 2007-04-23 |
| 1609947407 | Catalina Fernald | Psychiatry & Neurology | 100 E Jeffery St, Center Building, Dept of Behavioral Health, 3rd Floor, Kankakee, IL 60901-5018 | 2006-11-13 |
| 1184636474 | Patricia L Roy | Psychiatry & Neurology | 500 N Wall Street, Suite 200, Kankakee, IL 60901 | 2006-08-13 |
| 1649265026 | Lambros C Chrones | Psychiatry & Neurology | 500 N Wall St, Suite 200, Kankakee, IL 60901-2942 | 2005-09-13 |
| 1194719534 | Mary E Belford | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901 | 2005-08-31 |
| 1962026302 | Kelsie Joann Jamilia Winger | Psychiatry & Neurology | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-01 |
| 1134741028 | Shahzaib Khan | Psychiatry & Neurology | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-13 |
| 1811383334 | Mayurika Narayan Pise | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2015-04-10 |
| 1780002360 | Timothy George Yovankin | Psychiatry & Neurology | 400 N Wall St Ste B402, Kankakee, IL 60901-2940 | 2014-04-01 |
| Find all providers in KANKAKEE | ||||
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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.