DR. LEAH PENDARVIS (NPI# 1093715088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093715088 |
| Entity Type | Individual |
| Full Name | DR. LEAH PENDARVIS |
| Credential | PH.D. |
| Practice Address |
11 N Slusser St Grayslake IL 60030-1524 |
| Mailing Address |
120 N Lake St Grayslake IL 60030-1521 |
| Practice Telephone | 8475489313 |
| Practice Fax Number | 8475487029 |
| Mailing Telephone | 8475489313 |
| Mailing Fax Number | 8475487029 |
| Enumeration Date | 2005-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
11 N SLUSSER ST |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649668260 | Powers Wellness & Consulting Group, LLC | Psychologist | 912 Blazing Star Rd, Grayslake, IL 60030-3555 | 2015-01-05 |
| 1720274335 | Daun Blain and Barbara Perlman LLC | Psychologist | 265 Highland Rd, Grayslake, IL 60030-1226 | 2007-09-18 |
| 1053531723 | Anita Kay Eisenstein | Psychologist | 22010 W Washington St, Grayslake, IL 60030-1052 | 2007-04-26 |
| 1972657724 | Candace Vivian Love | Psychologist | 419 Center St C, Grayslake, IL 60030-1645 | 2007-01-22 |
| 1952451577 | Aic Associates Inc | Psychologist | 100 S Atkinson Rd, Suite 203, Grayslake, IL 60030-7817 | 2007-01-12 |
| 1184085573 | Danielle Marie Ciccone- Coutre | Psychologist | 419 Center St Ste C, Grayslake, IL 60030-1645 | 2016-03-11 |
| 1205042652 | Integrative Psychological Services, Inc | Psychologist | 15 Commerce Dr, Suite 113, Grayslake, IL 60030-7807 | 2007-05-15 |
| 1225154982 | Carol Paxton Cox | Psychologist | 100 S Atkinson Rd, Suite 205, Grayslake, IL 60030-7817 | 2007-03-22 |
| 1326164377 | Lawrence Todryk | Psychologist | 15 Commerce Dr, Suite 113, Grayslake, IL 60030-7807 | 2007-03-21 |
| 1972635985 | Lisa Rouff | Psychologist | 100 S Atkinson Rd, Suite 203, Grayslake, IL 60030-7817 | 2007-03-12 |
| Find all providers in GRAYSLAKE | ||||
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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.