Molly Deslandes, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071011360 Issued in IL

Practice address

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471

Phone

(847) 759-9110

Fax

(224) 985-2119

NPI assigned

Dec 23, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mo Deslandes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Nightshade Counseling, PLLC

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1740150424
  NPD Authorized official
• The Juniper Center PC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1902906324

  Clinical

  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1831907898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR STE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681471",
            "telephone_number": "847-759-9110",
            "fax_number": "224-985-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR STE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681471",
            "telephone_number": "847-759-9110",
            "fax_number": "224-985-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLANDES",
        "first_name": "MOLLY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071011360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "071011360",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MO",
            "last_name": "DESLANDES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheryl Depakakibo, PT,DPT
• Jacalyn Ann Derengowski, P.T.
• Katelyn Elizabeth Derosa, PA-C
• Jill Derose, LCSW
• Avni Dervishi
• Maria Geraldinesneha Devanesan, MD
• Maryann Almores Devilla, DPT
• Devoted Rehab Services
• Kerry J Devries, M.A., L.C.P.C.
• Maria R. Devries, M.D.

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

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

Verify at the official NPI Registry.