Individual provider Active NPI

Deepika Anand

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1144798117
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5403 Issued in NC
Practice address
2515 W Lawrence Ave Apt 3N
Chicago, IL 60625-3679
Phone
(847) 999-8493
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-010425 IL
Clinical Psychologist 103TC0700X 5403 NC Primary

Addresses

Primary practice location

2515 W Lawrence Ave Apt 3N
Chicago, IL 60625-3679

Mailing address

2515 W Lawrence Ave Apt 3N
Chicago, IL 60625-3679
Phone (847) 999-8493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 4, 2021 through Feb 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5403NCMDMental Health Counselor
071-010425ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CBT Center of Chicago, PLLC Clinical CurrentSince Jan 31, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1144798117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W LAWRENCE AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253679",
            "telephone_number": "847-999-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W LAWRENCE AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253679",
            "telephone_number": "847-999-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAND",
        "first_name": "DEEPIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-010425",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.