Dahiana Prokop, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021105609 Issued in IL

Practice address

2340 S Highland Ave Ste 300
Lombard, IL 60148-5397

Phone

(630) 261-1210

Fax

(630) 261-1211

NPI assigned

Nov 9, 2022

Last updated

Nov 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dahiana.prokop.1@9265.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Clinical Services PC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1942484522
  NPD (past)

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1366150351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N NEWCASTLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074422",
            "telephone_number": "773-615-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE STE 300",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485397",
            "telephone_number": "630-261-1210",
            "fax_number": "630-261-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOP",
        "first_name": "DAHIANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "2021105609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Services
• Primebox LLC
• Professional Clinical Counseling
• Progressive Physical Medicine S.C.
• Progressive Physiomed PC
• Patricia Joanne Prokopios
• Prospect Healthcare SC
• Judy Prow
• Kristine Puente, LPC
• Christine Mary Pullia

• Psychiatric/Mental Health Nurse Practitioner in Lombard, IL
• Providers in Lombard, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.