CARYN FELDMAN


Address: 1030 N Clark St, Suite 320, Chicago, IL 60610-5467
Phone: 3122387800

CARYN FELDMAN (NPI# 1043480577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043480577
Entity Type Individual
Full Name CARYN FELDMAN
Credential PHD
Practice Address 1030 N Clark St
Suite 320
Chicago
IL 60610-5467
Mailing Address 345 E Superior St
Chicago
IL 60611-2654
Practice Telephone 3122387800
Practice Fax Number 3122387801
Mailing Telephone 3122381000
Enumeration Date 2008-03-12
Last Update Date 2008-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
071-005600 IL Behavioral Health & Social Service Providers
N 103TH0004X Psychologist
Specialization: Health
071-005600 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL RR MEDICARE P00089650 01

Office Location

Street Address 1030 N CLARK ST
SUITE 320
City CHICAGO
State IL
Zip Code 60610-5467

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1487036992 Jennifer Louise Fockler Acupuncturist 1030 N Clark St, #610, Chicago, IL 60610-5467 2015-06-19
1265812002 Christopher Balmaceda Social Worker 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 2015-06-07
1033502570 Jeremiah Yoo Physical Therapist 1030 N Clark St, #500, Chicago, IL 60610-5467 2015-03-09
1750702890 Inner Life Psychological Services Psychologist 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 2013-12-16
1750646469 Colleen Marian Napleton Counselor 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 2012-07-09
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NPI Name Taxonomy Address Enumeration
1326683145 Roslyn M Jordan Counselor 860 N. Lasalle, Chicago, IL 60610 2019-11-15
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1982146908 Samantha Ruth Slagh Physical Therapist 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 2016-11-08
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548886302 Unicka Mare Green Psychologist 5651 S Perry Ave, Chicago, IL 60621-4019 2020-06-17
1467076398 Ayesha Sconyers Psychologist 9204 S Ellis Ave, Chicago, IL 60619-7825 2020-06-06
1861032088 Zora Angel Mahomes Psychologist 4056 W Jackson Blvd, Chicago, IL 60624-2756 2020-01-15
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1770982845 Mercy Blesson Psychologist 5946 N Milwaukee Ave, Chicago, IL 60646-5424 2014-08-14
1063789220 Integrative Psychological Healthcare Center Psychologist 3100 N Sheridan Rd, Apt. 9e, Chicago, IL 60657-4954 2011-11-16
1952553414 Eugenie B. Pabst, LLC Psychologist 1901 N Clybourn Ave, 301, Chicago, IL 60614-5090 2008-10-15
1205008406 Christine Gagnon Psychologist 1030 N Clark St, Chicago, IL 60610-5467 2008-03-27
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City CHICAGO
Zip Code 60610

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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.

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