Provider Demographics
NPI:1730635939
Name:JOSHI, RIDDHI (PSYD)
Entity Type:Individual
Prefix:
First Name:RIDDHI
Middle Name:
Last Name:JOSHI
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 1:1625 BETHANY RD
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3124
Mailing Address - Country:US
Mailing Address - Phone:779-777-7335
Mailing Address - Fax:
Practice Address - Street 1:2100 HUNTINGTON DR N STE C
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-5940
Practice Address - Country:US
Practice Address - Phone:779-777-7335
Practice Address - Fax:224-333-0096
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IL71010509103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor