RAVI SHAH (NPI# 1396209383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396209383 |
| Entity Type | Individual |
| Full Name | RAVI SHAH |
| Credential | PSY.D. |
| Practice Address |
246 E Janata Blvd Ste 112 Lombard IL 60148-5377 |
| Practice Telephone | 6304248900 |
| Practice Fax Number | 6304249017 |
| Mailing Telephone | 6304248900 |
| Mailing Fax Number | 6304249017 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071009954 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609339555 | Ravi Gaurang Shah | Student in an Organized Health Care Education/Training Program | 171 Lake Ave, Colonia, NJ 07067-1354 | 2019-04-08 |
| 1669733507 | Ravi B Shah | Physical Therapist | 9 Floyd St, Jersey City, NJ 07306-3509 | 2012-06-07 |
| 1316204340 | Ravi Navin Shah | Psychiatry & Neurology | 3 Columbus Cir Ste 1430, New York, NY 10019-8723 | 2012-04-16 |
| 1013999895 | Ravi C Shah | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2005-11-16 |
| 1891291720 | Ravi Sanjay Shah | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-03-31 |
| 1053812263 | Ravi Yatin Shah | Pharmacist | 7800 Old Redwood Hwy, Cotati, CA 94931-5106 | 2018-02-22 |
| 1841722964 | Ravi Shah | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Suny At Stony Brook, Department of Anesthesiology, Stony Brook, NY 11794-8480 | 2017-03-29 |
| 1326579103 | Ravi Shah | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2017-03-23 |
| 1386175305 | Ravi J Shah | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2017-03-22 |
| 1295186872 | Ravi Shah | Ophthalmology | 1977 Butler Blvd, Houston, TX 77030-4101 | 2016-06-25 |
| Street Address |
246 E JANATA BLVD STE 112 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-5377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336454891 | Kristen Anne Wright | Counselor | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2010-08-09 |
| 1245790096 | Brooke Morse-karzen | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2019-03-20 |
| 1679043764 | Mary Colleen Ross-newman | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2018-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609281385 | Dianna L Kucera | Psychologist | 1920 S Highland Ave Ste 300-10, Lombard, IL 60148-4766 | 2014-06-21 |
| 1801821764 | Terry Harlan Shapiro | Psychologist | 477 E Butterfield Rd, Suite Ll005, Lombard, IL 60148-5618 | 2006-07-11 |
| 1912530999 | Imman Musa | Psychologist | 998 N Lombard Rd, Lombard, IL 60148-1264 | 2020-02-18 |
| 1245790096 | Brooke Morse-karzen | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2019-03-20 |
| 1972061307 | Samantha Blevins | Psychologist | 1920 S Highland Ave Ste 300, Lombard, IL 60148-6149 | 2019-03-05 |
| 1679043764 | Mary Colleen Ross-newman | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2018-11-30 |
| 1417408303 | First Responders Wellness Center, LLC | Psychologist | 477 E Butterfield Rd, #204, Lombard, IL 60148-5618 | 2016-10-17 |
| 1265804330 | Kristin Clifford | Psychologist | 246 E Janata Blvd, Lombard, IL 60148-5317 | 2015-10-28 |
| 1841564440 | Nancy Schneider | Psychologist | 440 S Finley Rd, Lombard, IL 60148-2429 | 2012-02-28 |
| 1386951812 | A Plus Extended Therapy Inc | Psychologist | 1920 S Highland Ave, Ste 314, Lombard, IL 60148-4988 | 2010-09-03 |
| Find all providers in LOMBARD | ||||
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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.