WAKEFUL PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC (NPI# 1407329063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407329063 |
| Entity Type | Organization |
| Organization Name | WAKEFUL PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC |
| Practice Address |
3633 W Lake Ave Ste 200 Glenview IL 60026-5802 |
| Practice Telephone | 3126903719 |
| Mailing Telephone | 3126903719 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | DR. TAK-SENG LODRO (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3128106681 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3250 N Arlington Heights Rd # Wing200, Arlington Heights, IL 600041563 | 3126903719 | |
| 712 N Arlington Heights Rd, Arlington Heights, IL 600045664 | 3126903719 |
| Street Address |
3633 W LAKE AVE STE 200 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1740797760 | Rachana D Doshi | Psychologist | 3065 Dell Pl, Glenview, IL 60025-2683 | 2017-12-29 |
| 1063789618 | Stacey P Filerman | Psychologist | 3633 W Lake Ave Ste 406, Glenview, IL 60026-5804 | 2011-11-28 |
| 1649493586 | Marilyn M Deboer | Psychologist | 1306 Waukegan Rd, #201, Glenview, IL 60025-3072 | 2007-04-10 |
| 1467573022 | Richard James Robertson | Psychologist | 1352 Sanford Ln, Glenview, IL 60025-3165 | 2007-04-02 |
| 1679606305 | Heidi Moss Rosenberg | Psychologist | 115 Dartmouth Ct, Glenview, IL 60026-5914 | 2007-03-13 |
| 1013046481 | Diane Selinger | Psychologist | 1330 Sherwood Rd, Glenview, IL 60025-2370 | 2007-03-03 |
| 1922162239 | Glenn S. Gurewitz | Psychologist | 1701 E Lake Ave, Suite 205, Glenview, IL 60025-2065 | 2006-12-21 |
| 1063575728 | Pamela Antell | Psychologist | 1701 E Lake Ave Ste 250, Glenview, IL 60025-2037 | 2006-12-17 |
| 1083607303 | Mary Kay Pribyl | Psychologist | 2222 Chestnut Ave, Suite 303, Glenview, IL 60026-1674 | 2005-08-23 |
| Find all providers in GLENVIEW | ||||
Please comment or provide details below to improve the information on WAKEFUL PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC.
| 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.