DIVERSE LEGACY INCORPORATED (NPI# 1780987503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780987503 |
| Entity Type | Organization |
| Organization Name | DIVERSE LEGACY INCORPORATED |
| Other Organization Name | SANDERS AND ASSOCIATES |
| Practice Address |
1717 N Naper Blvd Suite 200 Naperville IL 60563-8802 |
| Practice Telephone | 7082238405 |
| Mailing Telephone | 7082238405 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | DR. TIFFANY D SANDERS (PRESIDENT) |
| Authorized Official Telephone | 7082238405 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071-007847 | IL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sanders and Associates | Doing Business As Name - Organization |
| Street Address |
1717 N NAPER BLVD SUITE 200 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053478560 | Kathleen Sue Powell | Social Worker | 1717 N Naper Blvd, Ste 200, Naperville, IL 60563-8802 | 2007-01-03 |
| 1578951786 | Barbara Evans | Counselor | 1717 N Naper Blvd, Suite 200, Naperville, IL 60563-8802 | 2014-12-23 |
| 1548554835 | Toby S Weber | Social Worker | 1717 N Naper Blvd, Suite 200, Naperville, IL 60563-8802 | 2011-06-03 |
| 1316269749 | Latehesha Fitch | Counselor | 1717 N Naper Blvd, Suite 200 #8, Naperville, IL 60563-8802 | 2010-02-26 |
| 1962633909 | Advanced Midwest Institute for Counseling and Psychotherapy, LLC | Counselor | 1717 N Naper Blvd, Suite 200, Naperville, IL 60563-8802 | 2009-08-06 |
| 1619108750 | Joy Singh | Counselor | 1717 N Naper Blvd, Suite 200, Naperville, IL 60563-8802 | 2009-08-06 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195475 | Danielle Snedden | Psychologist | 1979 N Mill St Ste 204, Naperville, IL 60563-8472 | 2018-05-21 |
| 1104375666 | Exist Chicago, P.C. | Psychologist | 1733 Park St Ste 100, Naperville, IL 60563-4863 | 2016-09-26 |
| 1124573886 | Cynthia Navin-o'meara | Psychologist | 1011 S Naper Blvd, Naperville, IL 60540-8313 | 2016-08-23 |
| 1154565877 | Nicole M Springer-iannantuoni | Psychologist | 2272 W 95th Street, Suite 115, Naperville, IL 60564 | 2009-04-24 |
| 1740430461 | Mcdougald & Associates Ltd | Psychologist | 426 Newport Dr, Naperville, IL 60565-3116 | 2008-09-30 |
| 1205051174 | Michaerl M Woods | Psychologist | 2817 Modaff Rd, Naperville, IL 60565-4351 | 2007-04-16 |
| 1629292305 | Nicholas C. Howard | Psychologist | 4635 Haviland Ct, Naperville, IL 60564-5881 | 2007-04-12 |
| 1649302167 | Patrick Wolfram Nolten | Psychologist | 832 Shandrew Dr, Naperville, IL 60540-8223 | 2007-03-10 |
| 1861523680 | Providence Counseling Associates, LLC | Psychologist | 445 W Jackson Ave Ste 206, Naperville, IL 60540-5258 | 2007-03-07 |
| 1558433284 | Robert Musikantow | Psychologist | 608 S Washington, Naperville, IL 60540 | 2006-11-15 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.