CARLY WOLFRAM (NPI# 1114492303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492303 |
| Entity Type | Individual |
| Full Name | CARLY WOLFRAM |
| Practice Address |
5404 W Elm St Mchenry IL 60050-4052 |
| Practice Telephone | 8153318786 |
| Mailing Telephone | 8153318786 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
5404 W ELM ST |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770541369 | Andrea Sue Clem | Family Medicine | 5404 W Elm St, Suite Q, Mchenry, IL 60050-4052 | 2006-05-03 |
| 1598321622 | Jaimie V Senese | Counselor | 5404 W Elm St, Mchenry, IL 60050-4052 | 2019-05-14 |
| 1720252224 | Charles J Tannenbaum | Dentist | 5404 W Elm St, Ste F, Mchenry, IL 60050-4052 | 2008-04-15 |
| 1245304450 | Procare Dental Group, P.C. | Dentist | 5404 W Elm St, Ste F, Mchenry, IL 60050-4052 | 2006-11-20 |
| 1497860951 | Jeanne Marie Browning | Registered Nurse | 5404 W Elm St, Suite Q, Mchenry, IL 60050-4052 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849791 | Matthew King | Psychologist | 2500 Galen Dr Ste 4, Champaign, IL 61821-7050 | 2020-10-17 |
| 1790392439 | Julie Kopf | Psychologist | 1301 S Prospect Ave, Park Ridge, IL 60068-5344 | 2020-09-27 |
| 1568088771 | Psychological Services Center Inc. | Psychologist | 3110 N Sheffield Ave, Chicago, IL 60657-6700 | 2020-06-23 |
| 1124652185 | Soffiya A Siddiqui | Psychologist | 3124 Treesdale Ct, Naperville, IL 60564-4609 | 2020-02-28 |
| 1902437510 | Philip James Cooke | Psychologist | 25 E Washington St Ste 1506, Chicago, IL 60602-1849 | 2020-02-01 |
| 1356971170 | Greenpath Clinic | Psychologist | 2132 Deep Water Ln Ste 240, Naperville, IL 60564-8565 | 2020-01-21 |
| 1356971527 | Nubia Janette Guzman | Psychologist | 137 N Oak Park Ave Ste 403, Oak Park, IL 60301-1344 | 2020-01-16 |
| 1750921078 | Insights Therapeutic Services, LLC | Psychologist | 1820 Ridge Rd Ste 303r, Homewood, IL 60430-1759 | 2020-01-15 |
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
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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.