| Clarity Clinic Arlington Heights, Llc | |
|
2101 S Arlington Heights Rd Ste 116 Arlington Heights IL 60005-4142 | |
| (312) 929-2172 | |
| (312) 754-9402 |
| Full Name | Clarity Clinic Arlington Heights, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2101 S Arlington Heights Rd Ste 116, Arlington Heights, Illinois |
| Authorized Official Name and Position | Pavan Prasad (OWNER) |
| Authorized Official Contact | 3129292172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Clinic Arlington Heights, Llc 2101 S Arlington Heights Rd Ste 116 Arlington Heights IL 60005-4142 Ph: (312) 929-2172 | Clarity Clinic Arlington Heights, Llc 2101 S Arlington Heights Rd Ste 116 Arlington Heights IL 60005-4142 Ph: (312) 929-2172 |
| NPI Number | 1104341999 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 09/27/2017 |
| Medicare PECOS PAC ID | 0840558094 |
|---|---|
| Medicare Enrollment ID | O20171218002359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104341999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 036137175 (Illinois) | Primary |
| Provider Name | Jessica L Funk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891035903 PECOS PAC ID: 4880828532 Enrollment ID: I20131011000337 |
| Provider Name | Sankrant Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578889564 PECOS PAC ID: 6608003843 Enrollment ID: I20140617000134 |
| Provider Name | Kailyn Bobb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396195491 PECOS PAC ID: 6002153954 Enrollment ID: I20190130001600 |
| Provider Name | Kumail Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891177648 PECOS PAC ID: 6800187550 Enrollment ID: I20200624002681 |
| Provider Name | Marc Christian Sandrolini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861669632 PECOS PAC ID: 0446679880 Enrollment ID: I20201002002582 |
| Provider Name | Kyla Rose Goggin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558968164 PECOS PAC ID: 4385055748 Enrollment ID: I20201117000127 |
| Provider Name | Michele Pearl Lasira Sitorus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073113098 PECOS PAC ID: 1951715366 Enrollment ID: I20210126003073 |
| Provider Name | Lauren Ann Isdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881298834 PECOS PAC ID: 2668886615 Enrollment ID: I20210202002845 |
| Provider Name | James Delgiudice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225272438 PECOS PAC ID: 9638584295 Enrollment ID: I20210213000022 |
| Provider Name | Jason Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649631821 PECOS PAC ID: 7517258965 Enrollment ID: I20210223000601 |
| Provider Name | Michelle A Augoustatos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851554620 PECOS PAC ID: 4486047990 Enrollment ID: I20220204001828 |
| Provider Name | Tonlavail J White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730824095 PECOS PAC ID: 8527442474 Enrollment ID: I20220826001891 |
| Provider Name | Agnes Zalesna |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1720455223 PECOS PAC ID: 8628424314 Enrollment ID: I20231101002269 |
| Provider Name | Jason Brescia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306490172 PECOS PAC ID: 5294186680 Enrollment ID: I20240110002369 |
| Provider Name | Deepa Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962190223 PECOS PAC ID: 5799137667 Enrollment ID: I20240116002798 |
| Provider Name | Rahael Mathew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871033670 PECOS PAC ID: 9830532118 Enrollment ID: I20240205001179 |
| Provider Name | Chad Gaynier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912307570 PECOS PAC ID: 4486099413 Enrollment ID: I20240229003446 |
| Provider Name | Virginia A Harren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578852034 PECOS PAC ID: 1951746890 Enrollment ID: I20240229004257 |
| Provider Name | Kaitlyn Ehler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710623152 PECOS PAC ID: 6507201407 Enrollment ID: I20240301001490 |
| Provider Name | Sarah Danielle Tarabey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013543735 PECOS PAC ID: 8527404177 Enrollment ID: I20240306001838 |
| Provider Name | Sloan W. Kodroff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861941767 PECOS PAC ID: 9638515349 Enrollment ID: I20240315001118 |
Brian Richardson, Psyd, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Arlington Heights Rd, Suite 301, Arlington Heights, IL 60004 Phone: 847-650-0307 Fax: 847-222-9769 | |
Light Side Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 E Rand Rd Ste L109, Arlington Heights, IL 60004 Phone: 773-490-8863 | |
Amphora Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 N Wilke Rd Ste 102c, Arlington Heights, IL 60004 Phone: 224-349-2594 Fax: 224-350-8500 | |
Jura Adams, M.d., Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3405 N. Kennicott Avenue, Suite C, Arlington Heights, IL 60004 Phone: 847-483-0303 Fax: 847-483-0305 | |
Amy J. Wilder, Lcsw, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2025 S Arlington Heights Rd, Arlington Heights, IL 60005 Phone: 847-545-0400 Fax: 847-545-0405 | |
Northwest Adhd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Wilke Rd, Suite 403, Arlington Heights, IL 60005 Phone: 847-577-7705 Fax: 847-577-7712 | |
Tria A Murphy, Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 E Golf Rd Ste 1131, Arlington Heights, IL 60005 Phone: 773-631-8337 Fax: 773-302-1247 |