Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Lotus Neuropsychology, PLLC

Organization Clinical Neuropsychologist · NPI 1750036331

Blue Lotus Neuropsychology, PLLC is a Clinical Neuropsychologist in Evanston, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

636 Church St Ste 307
Evanston, IL 60201-4579
Phone: (847) 220-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1750036331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chelsea Cooper — Managing Partner · (847) 220-4365
NPI enumeratedFebruary 13, 2022
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address636 Church St Ste 307, Evanston, IL 60201-4579

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