Active NPI
Manisha Dayal, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1023178688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005780
- Practice address
- 1300 W Belmont Ave
#216
Chicago, IL 60657-3200 - Phone
- (773) 880-1390
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-005780 | IL | Primary |
Addresses
Primary practice location
1300 W Belmont Ave
#216
Chicago, IL 60657-3200
Mailing address
1300 W Belmont Ave Ste 407
Chicago, IL 60657-3242
Phone (773) 297-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622706 | Other | IL | BCBS PPO NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-005780 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1023178688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE STE 407",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573242",
"telephone_number": "773-297-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "#216",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "773-880-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYAL",
"first_name": "MANISHA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO NUMBER",
"identifier": "01622706",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.