AMY DAMORE (NPI# 1346795473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346795473 |
Entity Type | Individual |
Full Name | AMY DAMORE |
Practice Address |
3231 Euclid Ave Suite 407 Berwyn IL 60402-3471 |
Practice Telephone | 7087837430 |
Mailing Telephone | 7087837430 |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.009288 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LICENSE | 071.009288 | 01 |
Street Address |
3231 EUCLID AVE SUITE 407 |
City | BERWYN |
State | IL |
Zip Code | 60402-3471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205839115 | Cml-chicago Market Labs, Inc. | Clinical Medical Laboratory | 3231 Euclid Ave, Berwyn, IL 60402-3471 | 2005-05-24 |
1053819722 | L. Medicine Labs, LLC | Clinical Medical Laboratory | 3231 Euclid Ave, Berwyn, IL 60402-3471 | 2018-01-29 |
1457883969 | Regina Depietro | Student in an Organized Health Care Education/Training Program | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2017-04-03 |
1700232634 | Alba Cardenas Molina | Family Medicine | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2016-05-10 |
1225491434 | Maryann M Parayil | Family Medicine | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2016-04-04 |
1730542077 | Ashley Mallory | Student in an Organized Health Care Education/Training Program | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2016-04-04 |
1174907646 | Brittany Sims | Physician Assistant | 3231 Euclid Ave, Suite 200, Berwyn, IL 60402-3471 | 2015-07-15 |
1518340058 | Tiffany Sham | Family Medicine | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2015-07-01 |
1447646641 | Gary Rodriguez | Family Medicine | 3231 Euclid Ave, 5th Flr, Berwyn, IL 60402-3471 | 2015-04-14 |
1538553177 | Jay Patel | Internal Medicine | 3231 Euclid Ave, Suite 203, Berwyn, IL 60402-3471 | 2015-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
Find all providers in zip 60402 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063920247 | Emily Jean Paull | Psychologist | 1171 Lancaster Ave Ste 100, Berwyn, PA 19312-2602 | 2018-01-22 |
1831471994 | Barbara Ellis | Psychologist | 621 Kromer Ave, Berwyn, PA 19312-1317 | 2011-09-15 |
1245459395 | Associates In Behavioral Science, Ltd. | Psychologist | 6201 West Cermak, 2nd Floor, Lombard Entrance, Berwyn, IL 60402-5101 | 2007-04-25 |
1154440519 | Anthony M Dejoseph | Psychologist | 6201 Cermak Rd Ste 2, Berwyn, IL 60402-5743 | 2007-03-28 |
1730258419 | Steven B Master | Psychologist | 620 E Lancaster Ave, Ste 1b, Berwyn, PA 19312 | 2006-11-07 |
1295791945 | Arturo Gudino Jr. | Psychologist | 6630 W. Ogden, Berwyn, IL 60402 | 2006-04-21 |
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1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
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 |
1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
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 |
1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
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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.