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NPISignal

Individual Healthcare Provider

Takenya White

NPI Record: ActivePsychologist — Intellectual & Developmental Disabilities
NPI1770119935
Blue Island, Illinois

Provider's NPPES record last updated: July 27, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1770119935
Primary Specialty
Psychologist — Intellectual & Developmental Disabilities
Practice Location
Blue Island, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 7:35 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Intellectual & Developmental Disabilities

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 103TM1800X
  • Art Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.

    Taxonomy code 221700000X

Practice Locations

Practice Location

13136 Western Ave

Blue Island, Illinois 60406-2423

Phone: (708) 858-8946

Additional Practice Location

2155 Broadway St

Blue Island, Illinois 60406-3050

Phone: (708) 362-7559

Additional Practice Location

5318 135th St

Crestwood, Illinois 60418-1504

Phone: (708) 362-7559

Record Information

Enumeration Date
March 19, 2020
Provider's NPPES Record Last Updated
July 27, 2023
Certification Date
July 27, 2023
NPISignal NPPES Dataset
August 2026

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