Blue Lotus Neuropsychology, PLLC
NPI 1750036331ActiveOrganization· Clinical Neuropsychologist· Evanston, IL
Clinical Neuropsychologist in Evanston, Illinois, registered in NPPES in February 2022. The authorized official on file is Chelsea Cooper, PSY.D., Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750036331 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2022 |
| Last updated in NPPES | Jan 3, 2024 |
| Certified by provider | Jan 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
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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