NEUROPSYCHOLOGY DIAGNOSTIC CENTER LLC. (NPI# 1609267251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609267251 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGY DIAGNOSTIC CENTER LLC. |
| Practice Address |
16001 108th Ave Ste 2 Orland Park IL 60467-8788 |
| Practice Telephone | 7084039000 |
| Practice Fax Number | 7084039988 |
| Mailing Telephone | 7084039000 |
| Mailing Fax Number | 7084039988 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | DR. VALERIE L. NOWINSKI (OWNER) |
| Authorized Official Telephone | 7084039000 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071-003840 | IL | Behavioral Health & Social Service Providers |
| Street Address |
16001 108TH AVE STE 2 |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-8788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750413126 | Valerie L. Scaramella-nowinski | Clinical Neuropsychologist | 16001 108th Ave Ste 2, Orland Park, IL 60467-8789 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| 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 |
|---|---|---|---|---|
| 1699054551 | Tai Wun Park | Clinical Neuropsychologist | 15024 Castlebar Lane, Orland Park, IL 60462 | 2011-08-10 |
| 1730470444 | Jamie Walter | Clinical Neuropsychologist | 10730 W 143rd St, Ste 37, Orland Park, IL 60462-1939 | 2011-04-28 |
| 1487829867 | Jacqueline Grace Rea | Clinical Neuropsychologist | 10730 W 143rd St Ste 37, Orland Park, IL 60462-1940 | 2008-04-25 |
| 1750413126 | Valerie L. Scaramella-nowinski | Clinical Neuropsychologist | 16001 108th Ave Ste 2, Orland Park, IL 60467-8789 | 2007-03-12 |
| 1295700680 | Roy Gilliland | Clinical Neuropsychologist | 15040 Ravinia Ave Suite 44, Orland Park, IL 60462 | 2006-02-21 |
| 1659824928 | Lauren Crisanti | Clinical Neuropsychologist | 10730 W 143rd St Ste 37, Orland Park, IL 60462-1940 | 2016-08-03 |
| 1003217571 | Jessica Paxton | Clinical Neuropsychologist | 10730 W 143rd St Ste 37, Orland Park, IL 60462-1940 | 2014-09-15 |
| 1184960304 | Darrin Aase | Clinical Neuropsychologist | 10730 W 143rd St, Suite 37, Orland Park, IL 60462-1939 | 2012-12-15 |
| 1447508072 | Keifer Neuropsychology, LLC | Clinical Neuropsychologist | 10730 W 143rd St, Suite 37, Orland Park, IL 60462-1939 | 2012-08-29 |
| 1336472943 | Michelle Renee Myers | Clinical Neuropsychologist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2009-09-14 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
Please comment or provide details below to improve the information on NEUROPSYCHOLOGY DIAGNOSTIC CENTER LLC..
| 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.