PAUL PASULKA, PH.D., P.C. (NPI# 1053686717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053686717 |
| Entity Type | Organization |
| Organization Name | PAUL PASULKA, PH.D., P.C. |
| Practice Address |
600 N Mcclurg Ct Suite 3803a Chicago IL 60611-3044 |
| Practice Telephone | 3122662136 |
| Practice Fax Number | 3122666375 |
| Mailing Telephone | 3122662136 |
| Mailing Fax Number | 3122666375 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | DR. PAUL PASULKA (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3122662136 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071000013 | IL | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 071000013 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | INDIVIDUAL NPI | 1063504124 | 01 |
| Street Address |
600 N MCCLURG CT SUITE 3803A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023087327 | Enio A Rigolin | Psychiatry & Neurology | 600 N Mcclurg Ct, Chicago, IL 60611 | 2006-03-17 |
| 1578097523 | Lana Wong | Pharmacist | 600 N Mcclurg Ct, Apt. 2308a, Chicago, IL 60611-3044 | 2017-04-17 |
| 1609229467 | Kaylyn Howley | Counselor | 600 N Mcclurg Ct, 1011, Chicago, IL 60611-3044 | 2016-07-18 |
| 1851783393 | Rishi Khakhkhar | Student in an Organized Health Care Education/Training Program | 600 N Mcclurg Ct, Apt 4202a, Chicago, IL 60611-3044 | 2015-02-20 |
| 1225450497 | Enio A Rigolin Md Sc | Psychiatry & Neurology | 600 N Mcclurg Ct, Chicago, IL 60611-3044 | 2014-01-07 |
| 1356637177 | Timothy Michael Mcgorisk | Internal Medicine | 600 N Mcclurg Ct, Chicago, IL 60611-3044 | 2011-06-20 |
| 1679883904 | Erin Nicole Macko | Dentist | 600 N Mcclurg Ct, Apt 4105a, Chicago, IL 60611-3044 | 2010-10-20 |
| 1952628018 | L Lerner Md Sc | Family Medicine | 600 N Mcclurg Ct, Suite 507a, Chicago, IL 60611-3044 | 2010-04-29 |
| 1598093841 | Bertha Xitlaly Golem | Physical Therapist | 600 N Mcclurg Ct, Ste A312, Chicago, IL 60611-3011 | 2009-11-25 |
| 1952554958 | Sally Spector | Speech-Language Pathologist | 600 N Mcclurg Ct, 1508a, Chicago, IL 60611-3044 | 2008-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
| 1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
| 1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
| 1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
| 1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
| 1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
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| 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.