Individual provider Active NPI

Pia I Todras, PSY.D.

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1437334281
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-007800 Issued in IL
Practice address
255 Revere Dr
Northbrook, IL 60062-1564
Phone
(847) 412-4350
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-007800 IL Primary
Professional Counselor 101YP2500X 178-005264 IL

Addresses

Primary practice location

255 Revere Dr
Northbrook, IL 60062-1564

Mailing address

255 Revere Dr
Northbrook, IL 60062-1564
Phone (847) 412-4350

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

LicenseStateTypeSpecialty
178-005264ILMDProfessional Counselor
071-007800ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pia Todras, PSYD, LLC Current Accepting new patients
Jewish Child and Family Services Past Accepting new patients

Locations

4709 Golf Rd
Ste 1150
Skokie, IL 60076
Phone (773) 234-2488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1437334281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-412-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-412-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODRAS",
        "first_name": "PIA",
        "middle_name": "I",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-007800",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178-005264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.