Wakeful Psychological and Consulting Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WAKEFUL PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC

Practice address

1740 Ridge Ave Ste 200C
Evanston, IL 60201-5918

Phone

(312) 690-3719

Fax

(224) 999-6781

NPI assigned

Jan 7, 2019

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tak-Seng Lodro, PSY.D.NPI 1710425319

Title

Owner/Executive Director

Phone

(312) 810-6681

Specialties & licenses 7

Addresses

Locations

Practitioners 4

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.

• Tak-Seng Lodro, PSYD

  • Psychologist
  • Evanston, IL
  • NPI 1710425319
  NPD Authorized official
• Rachel Michelle Lodro, LPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1245995778
  NPD
• Ariana Celeste Miserak, LPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1659867935
  NPD
• Alexander Matthew Meyer, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Niles, IL
  • NPI 1053627653
  NPD (past)

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1407329063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE 200C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015918",
            "telephone_number": "312-690-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE 200C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015918",
            "telephone_number": "312-690-3719",
            "fax_number": "224-999-6781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Rockland Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600441779",
            "country_code": "US",
            "telephone_number": "224-999-6775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 N Arlington Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600045664",
            "country_code": "US",
            "telephone_number": "312-690-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAKEFUL PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "LODRO",
        "authorized_official_first_name": "TAK-SENG",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-810-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold L Wagner Jr., M.D.
• Jerome Peter Wagner, PH.D.
• Suleimaan Waheed, DO
• Michael S. Wahl, MD
• Dyson Wake, PHARM.D.
• Gwenn Waldman, L.C.P.C.
• Walgreen Co (Walgreens #04218)
• Walgreen Co (Walgreens #15364)
• Walgreen Co (Walgreens #02619)
• John Walion, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.