Active NPI
Nina Appadurai
- Clinical Neuropsychologist
- St Charles, IL
National Provider Identifier
1104292820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 071009098
- Practice address
- 2580 Foxfield Rd Ste 101-4
St Charles, IL 60174-1403 - Phone
- (630) 524-9230
- NPI assigned
- Aug 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009098 | IL | |
| Clinical Neuropsychologist | 103G00000X | 071009098 | IL | Primary |
Addresses
Primary practice location
2580 Foxfield Rd Ste 101-4
St Charles, IL 60174-1403
Mailing address
PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320
Other names 1
- Nina Krishnamurthy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007003420 | IL | Practitioner - Clinical Psychologist | 4789992942 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009098 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naperville Psychological Associates LLC | Clinical | Current | Accepting new patients |
| Denise a Fiducia, PHD & Associates, LLC | Clinical Neuropsychologist | Past | Accepting new patients |
| Cognitive Care Counseling, PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Huntley, IL
- NPI 1013532191
-
- Clinical Neuropsychologist
- Arlington Heights, IL
- NPI 1023323045
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Richard Kneip PHD PC
Practice addresses (Care Compare)
1051 Perimeter Dr
Suite 700
Schaumburg, IL 60173-5855
Phone (800) 693-1916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1104292820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2257",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463040357",
"telephone_number": "219-926-8320",
"fax_number": "219-926-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 FOXFIELD RD STE 101-4",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741403",
"telephone_number": "630-524-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPADURAI",
"first_name": "NINA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009098",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071009098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "KRISHNAMURTHY",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.