Kovella Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KOVELLA PSYCHIATRY, PLLC

Practice address

2615 Washington St
Waukegan, IL 60085-4980

Phone

(855) 990-1900

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Deepa Nadella, MD

Title

Physician

Phone

(248) 224-0110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1629709126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 HYBERNIA DR",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355509",
            "telephone_number": "248-224-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980",
            "telephone_number": "855-990-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVELLA PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "NADELLA",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-224-0110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Kosiek, DC
• Phoenix Kosing
• Melissa Kosterman
• Arthur Koudelka, PHARMD
• Lynn Robin Kovel, RN, BSN
• Dominika Kowalski, PNP, MSN
• Andrea Leilani Kowitz
• Cynthia Anne Kozic, PHARM. D
• Paul Edwin Kraus, LCPC
• Shawna M Krause

• Psychiatry Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.