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

Individual provider Clinical Psychologist · NPI 1629171749

Dr. K. Jod Taywaditep, PHD is a Clinical Psychologist in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

633 Emerson St
Evanston, IL 60208-0844
Phone: (847) 491-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 71006528 (IL)

Record details

NPI number1629171749
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 7, 2009

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