IndividualActive
K. Taywaditep, PH.D.
NPI 1629171749 · Clinical Psychologist · Evanston, IL
K. Taywaditep, PH.D. is a Clinical Psychologist provider in Evanston, IL (NPI 1629171749).
Provider details
- NPI number
- 1629171749
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 71006528 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
633 Emerson St
Evanston, IL 60208-0844
Phone: (847) 491-2151
Street-level locationGet directions
Mailing address
633 Emerson St
Evanston, IL 60208-0844
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2009-07-07
Frequently asked questions
- What is K. Taywaditep's NPI number?
- K. Taywaditep's National Provider Identifier (NPI) is 1629171749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is K. Taywaditep's specialty?
- K. Taywaditep is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is K. Taywaditep located?
- K. Taywaditep's practice location on file with NPPES is 633 Emerson St, Evanston, IL 60208-0844.
- What is K. Taywaditep's phone number?
- The practice phone number listed in the NPPES registry for K. Taywaditep is (847) 491-2151.
- Is K. Taywaditep's NPI active?
- Yes — K. Taywaditep's NPI (1629171749) is active in the NPPES registry as of the last update on 2009-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.