SHOBANA U SHANMUGAVELAYUTHAM (NPI# 1679134332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679134332 |
| Entity Type | Individual |
| Full Name | SHOBANA U SHANMUGAVELAYUTHAM |
| Practice Address |
600 E Diehl Rd Ste 110 Naperville IL 60563-4896 |
| Mailing Address |
2301 Beau Monde Ter Apt 106 Lisle IL 60532-1528 |
| Practice Telephone | 6304287890 |
| Mailing Telephone | 3315512447 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.012070 | IL | Behavioral Health & Social Service Providers |
| Street Address |
600 E DIEHL RD STE 110 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1801411665 | Katlheen Nora Mueller | Counselor | 1120 E Diehl Rd, Naperville, IL 60563-1458 | 2020-06-08 |
| 1962050534 | Jason Adams | Counselor | 2132 Deep Water Ln Ste 216, Naperville, IL 60564-8569 | 2019-08-27 |
| 1952882201 | Matthew Lonski | Counselor | 1300 Iroquois Ave Ste 145, Naperville, IL 60563-1389 | 2018-08-24 |
| 1275028102 | Meghan Catherine Ware | Counselor | 618 W 5th Ave Ste B, Naperville, IL 60563-4837 | 2018-06-23 |
| 1629577291 | Ali Elrehaimy | Counselor | 710 E Ogden Ave Ste 300, Naperville, IL 60563-8605 | 2018-02-08 |
| 1386190197 | Encompass Counseling Center, LLC | Counselor | 1012 W. 95th Street, Ste 11, Naperville, IL 60564-5040 | 2016-08-31 |
| 1780041426 | Danielle Pincente | Counselor | 1717 N Naper Blvd Ste 109, Naperville, IL 60563-8837 | 2016-01-26 |
| 1497120620 | Elizabeth Laitman Dubiel | Counselor | 1316 Wilshire Dr, Naperville, IL 60540-4226 | 2015-12-14 |
| 1740658822 | Laura Bruschuk | Counselor | 1754 N Washington St Ste 120, Naperville, IL 60563-1462 | 2015-09-08 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on SHOBANA U SHANMUGAVELAYUTHAM.
| 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.