TAKENYA WHITE
NPI 1770119935
Psychologist - Intellectual and Developmental Disabilities in Blue Island, IL
- Individual
- Female
- Psychologist
- Intellectual and Developmental Disabilit...
About TAKENYA WHITE
This page provides the complete NPI Profile along with additional information for Takenya White, a provider established in Blue Island, Illinois with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1770119935 assigned on March 2020. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1770119935 Verify this NPI
- Provider Name
- TAKENYA WHITE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13136 WESTERN AVE BLUE ISLAND, IL 60406
- Location Phone
- (708) 858-8946
- Mailing Address
- 13136 WESTERN AVE BLUE ISLAND, IL 60406
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-19-2020
- Last Update Date
- 07-27-2023
- Code Navigator
Location Map
Secondary Locations
- 2155 Broadway St
Blue Island, IL 60406
(708) 362-7559 - 5318 135th St
Crestwood, IL 60418
(708) 362-7559
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLUE ISLAND, IL 60406
BLUE ISLAND, IL 60406
BLUE ISLAND, IL 60406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770119935, enumerated as an "individual" on March 19, 2020.
The provider is located at 13136 WESTERN AVE BLUE ISLAND, IL 60406 and the phone number is (708) 858-8946.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
