Provider Type Icon

BLUE LOTUS NEUROPSYCHOLOGY PLLC NPI 1750036331


NPI Information

NPI: 1750036331
Provider Name: BLUE LOTUS NEUROPSYCHOLOGY, PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
636 CHURCH ST STE 307
EVANSTON, IL
ZIP 60201
Phone: (847) 220-4365
Get Directions

BLUE LOTUS NEUROPSYCHOLOGY, PLLC is a clinical neuropsychologist in Evanston, IL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. BLUE LOTUS NEUROPSYCHOLOGY, PLLC NPI is 1750036331. The provider is registered as an organization entity type.

The provider's business location address is:

636 CHURCH ST STE 307
EVANSTON, IL
ZIP 60201-579
Phone: (847) 220-4365

The provider's authorized official is Chelsea Cooper .
The authorized official title is Managing Partner and has the following contact phone number (847) 220-4365.

The enumeration date for this NPI number is 2/13/2022 and was last updated on 1/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2103G00000XClinical NeuropsychologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.