TARYN K THERAPY LLC (NPI# 1154832913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154832913 |
| Entity Type | Organization |
| Organization Name | TARYN K THERAPY LLC |
| Practice Address |
2500 W Bradley Pl Chicago IL 60618-4716 |
| Practice Telephone | 8722674041 |
| Mailing Telephone | 8722674041 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | TARYN MICHELLE KONEVICH (OWNER) |
| Authorized Official Telephone | 8722674041 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
149.019494 | IL | Ambulatory Health Care Facilities |
| Street Address |
2500 W BRADLEY PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1912422882 | Kelly Patricia Kilgallon | Social Worker | 2500 W Bradley Pl, Chicago, IL 60618-4716 | 2017-08-11 |
| 1447771456 | Alex King | Counselor | 2500 W Bradley Pl, Chicago, IL 60618-4716 | 2017-06-29 |
| 1881122448 | Eshley Sarit Spitzer | Counselor | 2500 W Bradley Pl, Chicago, IL 60618-4716 | 2017-05-26 |
| 1134669880 | Courtney Wells | Psychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4716 | 2017-02-28 |
| 1669833109 | David Meyerson Phd LLC | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2016-03-11 |
| 1700245487 | The Fit Institute | Clinic/Center | 2500 W Bradley Pl, Unit F, Chicago, IL 60618-4702 | 2016-02-23 |
| 1982063053 | Fun Moves | Occupational Therapist | 2500 W Bradley Pl, Chicago, IL 60618-4702 | 2016-02-18 |
| 1215396791 | City Neuropsychology Pllc | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2016-02-12 |
| 1568829026 | Larissa Chakarova | Occupational Therapist | 2500 W Bradley Pl, Chicago, IL 60618-4702 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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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.