Juliet I Dinkha

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.006781 Issued in IL

Practice address

149 Beaver Creek Dr
Bolingbrook, IL 60490-5556

Phone

(312) 684-5449

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1285219899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BEAVER CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905556",
            "telephone_number": "312-684-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BEAVER CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905556",
            "telephone_number": "312-684-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKHA",
        "first_name": "JULIET",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "149 Beaver Creek Dr",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604905556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Derick Dermatology, PLLC
• Dhccltd
• Konstantia Dickens
• Karen Dickson, MA, CCC-SLP/L
• Jami Hager Didier, OD
• Discover Health Chiropractic
• Karla Marie Doherty, CCC-SLP
• Dominion Living Assistance Services Inc
• James Donahue, DPT
• Joseph Donkor

• Clinical Psychologist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.