DR. DONALD J MIRO


Address: 1889 Maple Ave Unit W2, Evanston, IL 60201-3169
Phone: 8479125316

DR. DONALD J MIRO (NPI# 1093912644) 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) 1093912644
Entity Type Individual
Full Name DR. DONALD J MIRO
Credential PH.D.
Practice Address 1889 Maple Ave Unit W2
Evanston
IL 60201-3169
Practice Telephone 8479125316
Mailing Telephone 8479125316
Enumeration Date 2007-06-28
Last Update Date 2017-03-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 071002873 IL Behavioral Health & Social Service Providers

Office Location

Street Address 1889 MAPLE AVE UNIT W2
City EVANSTON
State IL
Zip Code 60201-3169

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1730674565 Ashley Elizabeth Aller Internal Medicine Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2018-06-25
1669967683 Ayush N Shah Internal Medicine 2650 Ridge Ave Ste 5315, Evanston, IL 60201 2018-06-22
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528571593 Brooke P. Halpern Psychologist 636 Church St Ste 507, Evanston, IL 60201-4581 2017-11-13
1326440454 Jennifer C. Panning Psyd and Associates Psychologist 636 Church St., Ste. 510, Evanston, IL 60201-4508 2014-09-19
1679984132 Sean W. Harrell Psychologist 89 S Valley Dr Apt 22, Evanston, WY 82930-4887 2014-05-17
1174809990 Michelle Doniece Morrone-kubes Psychologist 636 Church St Ste 619, Evanston, IL 60201-4586 2011-10-25
1942503800 Barbara Richardson Psychologist 225 Richmond St, Evanston, IL 60202-3639 2010-12-15
1649440645 Laura Lynn Viner Psychologist 1560 Sherman Ave., Suite 400, Yellowbrick, Evanston, IL 60201-4803 2008-03-05
1144408980 Inna Meerson Psychologist 917 Washington St Apt 1n, Evanston, IL 60202-2289 2008-02-04
1790986313 Katelyn S Varhely Psychologist 114 Kedzie St, Evanston, IL 60202-2510 2007-05-30
1073643102 Susanne Streicker Psychologist 607 Lake St, Evanston, IL 60201-4412 2007-03-07
1609917277 Joan Faier-routman Psychologist 9351 Avers Ave, Evanston, IL 60203-1312 2007-02-08
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City EVANSTON
Zip Code 60201

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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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