DR. AVELINA C PADIN PHD
NPI 1205414422
Psychologist in Chicago, IL

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1645 W JACKSON BLVD, CHICAGO, IL 60612(312) 942-8258 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Mar 30, 2021 (2 updates tracked since 2021).

About Dr. Avelina C Padin Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AVELINA C PADIN PHD (NPI 1205414422) is an individual psychologist in Chicago, Illinois and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205414422
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AVELINA C PADINCredential: PHD
Location Address1645 W JACKSON BLVDChicago, IL 60612-3276
Mailing Address1645 W Jackson BlvdChicago, IL 60612-3276 · (312) 942-8258
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1205414422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1645 W JACKSON BLVD, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Avelina C Padin Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193117653
PECOS Enrollment IDI20220113002524
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1645 W JACKSON BLVD, STE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Social Worker (Clinical)
1645 W JACKSON BLVD, SUITE 302
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 215
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
1645 W JACKSON BLVD, SUITE 600
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avelina Padin's NPI number?

The NPI number for Avelina Padin is 1205414422. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Avelina Padin located?

Avelina Padin practices at 1645 W Jackson Blvd, Chicago, IL 60612. The listed phone number is (312) 942-8258.

What is Avelina Padin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Avelina Padin enrolled in Medicare?

Yes. Avelina Padin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Avelina Padin was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.