Individual provider Active NPI

Anuja Gadgil, PSYD

  • Psychologist
  • Libertyville, IL
National Provider Identifier
1043984644
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1585 N Milwaukee Ave Ste 109
Libertyville, IL 60048-1359
Phone
(224) 707-4321
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Psychological Services Evaluations PLLC Psychologist CurrentSince Apr 6, 2025 Accepting new patients

Locations

1585 N Milwaukee Ave
Ste 109
Libertyville, IL 60048
Phone (224) 707-4321

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1585 N Milwaukee Ave Ste 109
Libertyville, IL 60048-1359

Mailing address

1585 N Milwaukee Ave Ste 109
Libertyville, IL 60048-1359
Phone (224) 707-4321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2024.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1043984644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 109",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "224-707-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 109",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "224-707-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADGIL",
        "first_name": "ANUJA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.