NPIMap

Organization Active NPI

Sookh PLLC

Doing business as Blue Kite Wellness

  • Adult Mental Health Clinic/Center
  • Wheaton, IL
National Provider Identifier
1144903345
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOOKH PLLC
Doing business as
Blue Kite Wellness
Practice address
1761 S Naperville Rd Ste 103
Wheaton, IL 60189-5846
Phone
(630) 635-0577
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOOKH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. Dhruvil J Pandya, MDNPI 1477627396
Title
Pwner
Phone
(224) 522-6618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1761 S Naperville Rd Ste 103
Wheaton, IL 60189-5846

Mailing address

4755 Karns Ave
Lisle, IL 60532-1666
Phone (224) 522-6618

Other names 1

  • Blue Kite Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sookh PLLC3 organizations share this tax ID, including this one
Part of
Sookh PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1761 S Naperville Rd
Ste 103
Wheaton, IL 60189
Phone (630) 635-0577

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1144903345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 KARNS AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321666",
            "telephone_number": "224-522-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD STE 103",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-635-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOKH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOOKH PLLC",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "DHRUVIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PWNER",
        "authorized_official_telephone_number": "224-522-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Kite Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.