DR. KATHERINE MARY BOHO (NPI# 1346381431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346381431 |
Entity Type | Individual |
Full Name | DR. KATHERINE MARY BOHO |
Credential | PSY.D. |
Practice Address |
3612 Lake Ave Wilmette IL 60091-1000 |
Mailing Address |
1640 Maple Ave 1506 Evanston IL 60201-3667 |
Practice Telephone | 7732822322 |
Practice Fax Number | 8479209567 |
Mailing Telephone | 8473322281 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 0001618636 | 01 |
Street Address |
3612 LAKE AVE |
City | WILMETTE |
State | IL |
Zip Code | 60091-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730178971 | Mark Lawrence Zukowski | Plastic Surgery | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2005-10-20 |
1134300510 | John Smith | Plastic Surgery | 3612 Lake Ave, Suite 2a, Wilmette, IL 60091-1000 | 2007-11-14 |
1134250095 | Elysa B Fisher | Specialist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-03-09 |
1710924386 | Lisa Verderber | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | 2006-06-01 |
1710924857 | Pediatric Eye Associates, PC | Ophthalmology | 3612 Lake Ave, Suite 2c, Wilmette, IL 60091-1000 | 2006-05-31 |
1982659314 | Deborah Fishman | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | 2006-05-24 |
1588613632 | North Shore Physicians Group, LLC | Specialist | 3612 Lake Ave, Ste. 4, Wilmette, IL 60091-1000 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
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Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568501021 | Gary Hill | Psychologist | 4049 Bunker Ln, Wilmette, IL 60091-1001 | 2007-02-05 |
1871651232 | Adina Sue Kleiman | Psychologist | 444 Skokie Blvd., Suite 340, Wilmette, IL 60091 | 2006-12-05 |
1588762280 | Antoinette Mercier Saunders | Psychologist | 1314 Greenwood, Wilmette, IL 60091 | 2006-09-20 |
1518142488 | Adina Kleiman, Phd, Ltd | Psychologist | 444 Skokie Blvd, Suite 340, Wilmette, IL 60091 | 2008-01-09 |
1245347087 | Thomas Patrick Lavin | Psychologist | 400 Linden Ave, Wilmette, IL 60091-3606 | 2006-08-25 |
1114936663 | Susanne M Swisher | Psychologist | 3545 Lake Ave, Suite #200, Wilmette, IL 60091-1058 | 2006-08-05 |
1023093515 | Abigail Benton Sivan | Psychologist | 3330 Old Glenview Rd, Suite 5, Wilmette, IL 60091-2963 | 2005-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
1548873771 | Michael Wierman | Psychologist | 545 Newport Ct, Island Lake, IL 60042-9137 | 2020-08-27 |
1295348506 | Amaoli LLC | Psychologist | 164 Division St Ste 617, Elgin, IL 60120-5533 | 2020-08-26 |
1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
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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.