Diverse Legacy Incorporated
NPI 1780987503ActiveOrganization· Psychologist· Naperville, IL
Psychologist in Naperville, Illinois, registered in NPPES in December 2010. The authorized official on file is Tiffany D. Sanders, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780987503 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2010 |
| Last updated in NPPES | Apr 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 071-007847 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Psychologist providers in Naperville
- 1770253205
- 1902916976
- 1295914646
- 1104682129
- 1932648136
- 1770591992
- 1073547204
- 1740430461
- 1427868751
- 1164339628
- 1316712656
- 1578835682