NIVEDITHA CHRISTODOSS (NPI# 1194043455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194043455 |
| Entity Type | Individual |
| Full Name | NIVEDITHA CHRISTODOSS |
| Credential | LCPC |
| Practice Address |
302 Randall Rd Ll30 Geneva IL 60134-4209 |
| Practice Telephone | 6302622640 |
| Practice Fax Number | 6302622645 |
| Mailing Telephone | 6302622640 |
| Mailing Fax Number | 6302622645 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2011-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180005760 | IL | Behavioral Health & Social Service Providers |
| Street Address |
302 RANDALL RD LL30 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227570 | Steven J. Bielski | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-06-30 |
| 1518320191 | Christine Polz | Nurse Practitioner | 302 Randall Rd, Suite 202, Geneva, IL 60134-4209 | 2016-04-01 |
| 1578970042 | Thomas Skoumal Dds, PC | Clinic/Center | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2014-07-16 |
| 1770828287 | Susannah More | Clinical Neuropsychologist | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-12-10 |
| 1245587997 | Thomas Edward Skoumal | Dentist | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2012-08-13 |
| 1811253677 | Brittany Summer Panico | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-04-05 |
| 1568783991 | Elizabeth A Lowden | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4220 | 2010-06-21 |
| 1659697100 | Jay Liu | Internal Medicine | 302 Randall Rd, Geneva, IL 60134 | 2010-04-08 |
| 1871822445 | Janeta Dimante M.d.s.c. | Obstetrics & Gynecology | 302 Randall Rd, Suite 305, Geneva, IL 60134-4209 | 2009-12-10 |
| 1285861179 | David Giangreco | Internal Medicine | 302 Randall Rd, Suite 307b, Geneva, IL 60134-4209 | 2009-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645546 | Alysia Le Feeney | Counselor | 3498 Wild Prairie Ln, Geneva, IL 60134-3963 | 2020-03-25 |
| 1144728916 | Klg Counseling Services, Inc | Counselor | 127 S 1st St Ste 208, Geneva, IL 60134-2644 | 2018-01-26 |
| 1528345287 | Margo Alena Mccollister | Counselor | 616 N Lincoln Ave, Geneva, IL 60134-1218 | 2011-11-09 |
| 1235464025 | Laura S Irvin | Counselor | 702 Redwing Dr, Geneva, IL 60134-3142 | 2009-10-12 |
| 1265645519 | Sandy Anne Lettieri | Counselor | 825 W State St Ste 206, Geneva, IL 60134-2074 | 2007-05-07 |
| 1215020771 | Linda C Bennet | Counselor | 1120 Randall Court, Geneva, IL 60134 | 2006-10-02 |
| 1376652537 | Lisa M Gleich | Counselor | 611 E State St, Suite 108, Geneva, IL 60134-2372 | 2006-08-30 |
| 1346354636 | Mathew Edward Mcfadden | Counselor | 515 James St Ste 8, Geneva, IL 60134-2174 | 2006-08-17 |
| 1114952314 | Diane Goodman | Counselor | 515 James St Ste 1, Geneva, IL 60134-2187 | 2006-07-12 |
| 1407415276 | Nancy E Ketay | Counselor | 321 Hamilton St, Geneva, IL 60134-2148 | 2019-06-06 |
| Find all providers in GENEVA | ||||
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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.