| Blue Kite Wellness | |
|
1761 S Naperville Rd Ste 103 Wheaton IL 60189-5846 | |
| (630) 635-0577 | |
| Not Available |
| Full Name | Blue Kite Wellness |
|---|---|
| Speciality | Counselor |
| Location | 1761 S Naperville Rd Ste 103, Wheaton, Illinois |
| Authorized Official Name and Position | Dhruvil Pandya (PRESIDENT) |
| Authorized Official Contact | 2245226618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Kite Wellness 4755 Karns Ave Lisle IL 60532-1666 Ph: (224) 522-6618 | Blue Kite Wellness 1761 S Naperville Rd Ste 103 Wheaton IL 60189-5846 Ph: (630) 635-0577 |
| NPI Number | 1053064352 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 1658758123 |
|---|---|
| Medicare Enrollment ID | O20220523001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053064352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| Provider Name | Dhruvil Pandya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477627396 PECOS PAC ID: 0749314375 Enrollment ID: I20130828000850 |
| Provider Name | Leslie Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881037042 PECOS PAC ID: 5294100962 Enrollment ID: I20230411001351 |
Coduto Counseling Group, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd, Bldg C Ste 1618, Wheaton, IL 60187 Phone: 630-923-5800 | |
Nicholas & Noble Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E Roosevelt Rd, Suite 105, Wheaton, IL 60187 Phone: 773-677-7363 | |
The Everpresent Center, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 W Front Street, Wheaton, IL 60187 Phone: 630-246-6988 | |
Adult Therapy Alliance, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E Geneva Rd, Wheaton, IL 60187 Phone: 630-246-2944 | |
Monarch Clinics, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 1080d, Wheaton, IL 60187 Phone: 630-589-0131 | |
Trousdale Counseling Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2100 Manchester Rd Ste 1628, Wheaton, IL 60187 Phone: 847-529-6184 |