Payal J Patel, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010004 Issued in IL

Practice address

2230 Indianapolis Blvd
Whiting, IN 46394-1956

Phone

(219) 659-0333

NPI assigned

Apr 16, 2019

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Payal Patel, PSYD LLC

  • Psychologist
  • Whiting, IN
  • NPI 1548877848
  NPD Authorized official
• Core - Center of Relational Empowerment, PC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1912270687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1093378085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941956",
            "telephone_number": "847-454-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941956",
            "telephone_number": "219-659-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043227A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J. O'Shea, MD, MPH
• Occu-Med PC
• Tajudeen Ogbara, M.D.
• Chittaranjan Ambalal Patel, MD
• Nirav Patel, MD
• Shyam Patel, D.O.
• Ushaben Patel, NP-C
• Vipul M Patel, DPM
• Payal Patel, PSYD LLC
• Marcia Perrin, RPH

• Clinical Psychologist in Whiting, IN
• Providers in Whiting, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.