Central Dupage Behavioral Health, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071008873 Issued in IL

Legal business name

CENTRAL DUPAGE BEHAVIORAL HEALTH, LLC

Practice address

4580 Weaver Pkwy Ste 204
Warrenville, IL 60555-3864

Phone

(630) 604-5000

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kunal Sachdev, PSY.D.

Title

President

Phone

(630) 604-5000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1730580358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY STE 204",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-604-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY STE 204",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "SACHDEV",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-604-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008873",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Carlson, ATC
• Andrea M Caruso, DNP, APRN, NNP-BC
• Jessica C Casey, PMHNP-BC
• Agnes A Cassidy, PT
• CDH Cancer Center
• Central Dupage Physician Group (Northwestern Medicine Regional Medical Group)
• David K Chang, MD
• Akhil Chawla, M.D.
• Renee G Cheng, MD
• Tena Chhe, CRT

• Psychologist in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.