Violet Theodos, PH.D. PLLC
NPI 1295357515ActiveOrganization· Psychologist, Clinical· Oak Brook, IL
Psychologist, Clinical in Oak Brook, Illinois, registered in NPPES in May 2020. The authorized official on file is Violet Theodos, PH.D., Clinical Psychologist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295357515 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2020 |
| Last updated in NPPES | May 11, 2022 |
| Certified by provider | May 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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