Provider Demographics
NPI:1417073321
Name:PATEL, NEHA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 KEYSTONE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5107
Mailing Address - Country:US
Mailing Address - Phone:312-545-6435
Mailing Address - Fax:
Practice Address - Street 1:4905 OLD ORCHARD CTR STE 521
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-4736
Practice Address - Country:US
Practice Address - Phone:312-545-6435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2023-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.006760103TC0700X
IL071006760103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL071.006760OtherCLINICAL PSYCHOLOGIST