Ayesha Sconyers
Psychologist (Health Service)

Address: 9204 S Ellis Ave, Chicago, IL 60619-7825
Phone: 2244237552

Ayesha Sconyers (NPI# 1467076398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1467076398
Entity Type Individual
Full Name Ayesha Sconyers
Credential C.N.A
Gender Female
Practice Address 9204 S Ellis Ave
Chicago
IL 60619-7825
Practice Telephone 2244237552
Mailing Address 9204 S Ellis Ave
Chicago
IL 60619-7825
Mailing Telephone 2244237552
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-06-06
Last Update Date 2020-06-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TH0100X Psychologist · Health Service Behavioral Health & Social Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
123456789 OTHER NONE

Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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Office Location

Street Address 9204 S ELLIS AVE
City CHICAGO
State IL
Zip Code 60619-7825

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Competitor

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City CHICAGO
Zip Code 60619

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.