Natasha Ann Radnovich, MED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

533 S 5TH St
West Dundee, IL 60118

Phone

(630) 621-0414

Fax

(224) 293-2229

NPI assigned

Jan 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Core Therapy, Inc,

  • Behavior Analyst
  • West Dundee, IL
  • NPI 1861995003
  NPD Authorized official

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1104333640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S 5TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182842",
            "telephone_number": "630-621-0414",
            "fax_number": "630-961-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S 5TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "630-621-0414",
            "fax_number": "224-293-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADNOVICH",
        "first_name": "NATASHA",
        "middle_name": "ANN",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Consultations, Inc
• Professional Consultations, Inc.
• Profound Roots Therapy Services
• Deborah Pryor, LCPC
• PT 4 Kids, Inc.
• Rawls Enterprises LLC Dba Touch of Care Home Services
• Cynthia Reyes Rivas
• Laura Elizabeth Ringa, RPH
• David Rios, MD
• River Grove Medical LTD

• Behavior Analyst in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.