NEUROREHAB PSYCHOLOGY CONSULTANTS, LLC (NPI# 1245742865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245742865 |
| Entity Type | Organization |
| Organization Name | NEUROREHAB PSYCHOLOGY CONSULTANTS, LLC |
| Practice Address |
419 Center St Ste C Grayslake IL 60030-1645 |
| Mailing Address |
11314 E Riviera Dr Spring Grove IL 60081-8146 |
| Practice Telephone | 2624127302 |
| Mailing Telephone | 2624127302 |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | DR. DANIELLE M CICCONE-COUTRE (CLINICAL PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Telephone | 2624127302 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
071.009251 | IL | Behavioral Health & Social Service Providers |
| Street Address |
419 CENTER ST STE C |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265813596 | Krista Jackson | Counselor | 419 Center St Ste C, Grayslake, IL 60030-1645 | 2015-06-11 |
| 1184085573 | Danielle Marie Ciccone- Coutre | Psychologist | 419 Center St Ste C, Grayslake, IL 60030-1645 | 2016-03-11 |
| 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 | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692280 | Rachel Anne Brokenshire | Psychologist | 10634 Fairfield St, Westchester, IL 60154-5106 | 2020-05-29 |
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1477037133 | Hilltop Haven Inc | Psychologist | 2018 Il Route 173, Richmond, IL 60071-9628 | 2018-09-19 |
| 1518222967 | Aanchal Taneja | Psychologist | 3315 N Sheffield Ave, Apt 2, Chicago, IL 60657-2212 | 2012-07-11 |
| 1669416749 | David A. Priddy | Psychologist | 575 N Kellogg St Ste 4, Galesburg, IL 61401-7609 | 2006-06-16 |
| 1366482572 | Allen Walter Heinemann | Psychologist | 713 W Buckingham Pl, Chicago, IL 60657-6534 | 2006-06-07 |
| 1780062638 | Laurin Jarrold Mack | Psychologist | 710 S Paulina St, Suite 316a, Chicago, IL 60612-3808 | 2015-05-12 |
| 1982985859 | Jennifer Lynn Perez | Psychologist | 128 Washington Sq, Washington, IL 61571-2657 | 2011-09-06 |
| 1801063029 | Amber Nicole Tesman | Psychologist | 1801 Fox Dr, Champaign, IL 61820-7236 | 2008-05-15 |
| 1811167489 | Richard R Trezona Jr. | Psychologist | 345 E Superior St, Chicago, IL 60611-2654 | 2008-03-10 |
| Find all providers with the same taxonomy | ||||
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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.