Thara Nagarajan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007439 Issued in IL

Practice address

2219 N Kenmore Ave
Chicago, IL 60614-3504

Phone

(773) 325-4659

NPI assigned

Jul 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1740419381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 N OAKLEY AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183813",
            "telephone_number": "773-771-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143504",
            "telephone_number": "773-325-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJAN",
        "first_name": "THARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Nagalla
• Niti Nagar, MD
• Abhishek Nagaraj, DDS
• Nitin Nagaraj
• Suraj Nagaraj
• Arun Nagaraju
• Ramalingappa Nagaraju, M.D.
• Lisa Nagatomo-Timms, LCSW
• Amy K Nagel, PT
• Becky June Nagel, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.