Active NPI
Karishma Patel
- Behavior Analyst
- Darien, IL
National Provider Identifier
1780225680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64001
- Practice address
- 8201 Cass Ave
Darien, IL 60561-5314 - Phone
- (630) 590-5571
- NPI assigned
- Oct 1, 2019
- Last updated
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-64001 | IL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
8201 Cass Ave
Darien, IL 60561-5314
Mailing address
1065 Willoby LN
Elgin, IL 60120-4923
Phone (630) 965-0130
Other practice location 1
5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Phone (847) 306-9843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| By Your Side, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1780225680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 WILLOBY LN",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204923",
"telephone_number": "630-965-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 CASS AVE",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615314",
"telephone_number": "630-590-5571"
}
],
"practiceLocations": [
{
"address_1": "5 Revere Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600628005",
"country_code": "US",
"telephone_number": "847-306-9843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KARISHMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-23-64001",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.