Active NPI
Nikhita Moolayil
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1356959332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071011200
- Practice address
- 2715 N Central Ave
Chicago, IL 60639-1351 - Phone
- (773) 360-1389
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071011200 | IL | Primary |
Addresses
Primary practice location
2715 N Central Ave
Chicago, IL 60639-1351
Mailing address
2715 N Central Ave
Chicago, IL 60639-1351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071011200 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Therapeutic Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1720247570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1356959332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 N CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 N CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391351",
"telephone_number": "773-360-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOLAYIL",
"first_name": "NIKHITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071011200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.