DAMO ANTWINE-JELANI NCSP
NPI 1225792427
Psychologist - School in Gary, IN

Active since October 25, 2021
2650 W 35TH AVE, GARY, IN 46408(630) 864-0704 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Damo Antwine-jelani Ncsp NPPES

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

DAMO ANTWINE-JELANI NCSP (NPI 1225792427) is an individual school provider in Gary, Indiana, licensed in Illinois (1185755) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1225792427
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameDAMO ANTWINE-JELANICredential: NCSP
Location Address2650 W 35TH AVEGary, IN 46408-1416
Mailing Address429 N Weber Rd Ste B-274Romeoville, IL 60446-3902 · (630) 864-0704
Sole ProprietorYes
Enumeration DateOctober 25, 2021
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1225792427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Licenses Licensed in IL · 1185755 Licensed in IN · 10307188
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
2650 W 35TH AVE, Gary, IN 46408

Other Names 1

Professional Name (2)Damien Antwine Ncsp

Other Identifiers 3

Medicaid63445AZ
Medicaid1185755IL
Medicaid6099042IL

Other Providers at the Same Location NPPES 3

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

Local Education Agency (LEA)
2650 W 35TH AVE
GARY, IN 46408
Intermediate Care Facility, Intellectual Disabilities
2650 W 35TH AVE
GARY, IN 46408
Day Training, Developmentally Disabled Services
2650 W 35TH AVE
GARY, IN 46408

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 Damo Antwine-jelani's NPI number?

The NPI number for Damo Antwine-jelani is 1225792427. It was assigned to this individual provider in the NPPES registry on October 25, 2021. The provider is also known as Damien Antwine Ncsp.

Where is Damo Antwine-jelani located?

Damo Antwine-jelani practices at 2650 W 35th Ave, Gary, IN 46408. The listed phone number is (630) 864-0704.

What is Damo Antwine-jelani's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Damo Antwine-jelani was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.