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TAKENYA WHITE
NPI 1770119935
Psychologist - Intellectual and Developmental Disabilities in Blue Island, IL

Active since March 19, 2020
13136 WESTERN AVE, BLUE ISLAND, IL 60406(708) 858-8946 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Mar 19, 2020 (2 updates tracked since 2020).

About Takenya White NPPES

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

TAKENYA WHITE (NPI 1770119935) is an individual intellectual and developmental disabilities provider in Blue Island, Illinois and active in the NPI registry since March 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770119935
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameTAKENYA WHITE
Location Address13136 WESTERN AVEBlue Island, IL 60406-2423
Mailing Address13136 Western AveBlue Island, IL 60406-2423
Phone(708) 858-8946
Sole ProprietorNo
Enumeration DateMarch 19, 2020
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1770119935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
Also ListedArt TherapistTaxonomy 221700000X
13136 WESTERN AVE, Blue Island, IL 60406
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Secondary Practice Locations 2

Location 12155 Broadway StBlue Island, IL 60406-3050 · Phone (708) 362-7559
Location 25318 135th StCrestwood, IL 60418-1504 · Phone (708) 362-7559

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.

BELINDA CHILDS
Case Manager/Care Coordinator
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
BRIANA E WRIGHT LSW
Social Worker
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
NICOLE FRAZIER
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5827
ANDREA R. BOYD MA, QMHP
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5823
MELISSA COLEMAN
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5849
MS. JULIET ANN RUSSOM WALDEN BS, AM, LSCW
Social Worker (Clinical)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
MR. LOUIS VOLPI III C.R.S.S.
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
ANTHONY WEST
Case Manager/Care Coordinator
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5815

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 Takenya White's NPI number?

The NPI number for Takenya White is 1770119935. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Takenya White located?

Takenya White practices at 13136 Western Ave, Blue Island, IL 60406. The listed phone number is (708) 858-8946.

What is Takenya White's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Takenya White was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.