The Cubala Group

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007681 Issued in IL

Legal business name

THE CUBALA GROUP

Practice address

270 Broadmoor LN
Bartlett, IL 60103-4300

Phone

(773) 882-0676

Fax

(630) 524-9119

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Cubala, PSYD

Title

Clinical Psychologist

Phone

(773) 882-0676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1497034706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BROADMOOR LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034300",
            "telephone_number": "773-882-0676",
            "fax_number": "630-524-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BROADMOOR LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034300",
            "telephone_number": "773-882-0676",
            "fax_number": "630-524-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CUBALA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "CUBALA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-882-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1225369804",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine S Tate, PHARM D
• Milan Thakkar
• Nishant Bipin Thakkar, PHARM.D
• Rima V Thakkar, AGPCNP
• Virginia Lynn Thames, MA
• Therapy Heals & Mitigation Services LLC
• Bindu Bajee Thomas, COTA
• Julia Anne Thomas
• Helen Marie Tollerud, RPH
• Evelyn Navarro Topacio, R.N

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.