Organization Active NPI

Vidya Therapy, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
National Provider Identifier
1851862965
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VIDYA THERAPY, INC
Practice address
639 S Washington St
Naperville, IL 60540-6643
Phone
(630) 209-2073
Fax
(630) 428-0069
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Vidya Dorjean, LCSW
Title
President
Phone
(630) 209-2073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

639 S Washington St
Naperville, IL 60540-6643

Mailing address

2286 McCartney Dr
Naperville, IL 60565-3071
Phone (630) 209-2073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1851862965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 MCCARTNEY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653071",
            "telephone_number": "630-209-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406643",
            "telephone_number": "630-209-2073",
            "fax_number": "630-428-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDYA THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "DORJEAN",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-209-2073",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.