Kunal Sachdev, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008873 Issued in IL

Practice address

4580 Weaver Pkwy
Suite 204
Warrenville, IL 60555-3864

Phone

(630) 604-5000

NPI assigned

Aug 14, 2014

Last updated

Sep 26, 2014By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Dupage Behavioral Health, LLC

  • Psychologist
  • Warrenville, IL
  • NPI 1730580358
  Authorized official Same address or phone

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1760881874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601740655",
            "telephone_number": "630-604-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY",
            "address_2": "SUITE 204",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEV",
        "first_name": "KUNAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell G. Tripp. D.D.S. LLC
• Patricia Russell, DC
• Lucille R Russo, M. D.
• Richard J Ryan, D.D.S.
• S & J Wellness PLLC
• Rosa E Salas, LMFT PHD
• Cynthia Lorena Saldana, LCPC
• Jeff Salt, D.CLIN.PSY. BSC
• Bekim Palanca Santiago
• Saturn Center Counseling, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.