STEFANIE MAXWELL (NPI# 1245390947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245390947 |
| Entity Type | Individual |
| Full Name | STEFANIE MAXWELL |
| Credential | PSY. D. |
| Practice Address |
4305 N Lincoln Ave Office J Chicago IL 60618-1711 |
| Practice Telephone | 7733161488 |
| Mailing Telephone | 7733161488 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-006622 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE NUMBER | 071-006622 | 01 |
| Street Address |
4305 N LINCOLN AVE OFFICE J |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920608 | Phyllis Sydnie Gould | Social Worker | 4305 N Lincoln Ave, Suite N, Chicago, IL 60618-1711 | 2005-08-31 |
| 1134731458 | Susan Ae Chan | Counselor | 4305 N Lincoln Ave, Chicago, IL 60618-1807 | 2020-08-18 |
| 1346717345 | Papa Ndomu Adams | Counselor | 4305 N Lincoln Ave, Chicago, IL 60618-1807 | 2018-10-28 |
| 1356817522 | Parkside Therapy | Social Worker | 4305 N Lincoln Ave, Chicago, IL 60618-1807 | 2018-10-16 |
| 1013457951 | Embrace The Center for Emotional Wellbeing LLC | Psychologist | 4305 N Lincoln Ave, Ste M, Chicago, IL 60618-1807 | 2017-02-25 |
| 1316397979 | Catalyst Clinical Group, Inc | Social Worker | 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 | 2016-06-14 |
| 1023475886 | Annaliese Rosamunde Spalink | Social Worker | 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 | 2016-01-25 |
| 1639562192 | Jessica Albright | Counselor | 4305 N Lincoln Ave, Chicago, IL 60618-1711 | 2015-03-09 |
| 1407265143 | Creative Health Counseling, LLC | Counselor | 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 | 2014-08-06 |
| 1265848253 | Diane Pelegris | Social Worker | 4305 N Lincoln Ave, Suite K, Chicago, IL 60618-1711 | 2014-07-10 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| 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.