CENTRUM COUNSELING & PHOBIA CLINIC (NPI# 1366581829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366581829 |
Entity Type | Organization |
Organization Name | CENTRUM COUNSELING & PHOBIA CLINIC |
Practice Address |
1101 Lake St #201 Oak Park IL 60301 |
Practice Telephone | 7083867974 |
Practice Fax Number | 7083867977 |
Mailing Telephone | 7083867974 |
Mailing Fax Number | 7083867977 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-08-22 |
Authorized Official Name | DR. MARVIN R COHEN (PSYCHOLOGIST PRESIDENT OF CORP) |
Authorized Official Telephone | 7083867974 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | I1071003499 | IL | Behavioral Health & Social Service Providers |
Street Address |
1101 LAKE ST #201 |
City | OAK PARK |
State | IL |
Zip Code | 60301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336198597 | Song K Piyaka | Psychiatry & Neurology | 1101 Lake St, #304, Oak Park, IL 60301-1085 | 2006-05-08 |
1063871747 | Bsmc-aom Inc | Reflexologist | 1101 Lake St, 210, Oak Park, IL 60301-1046 | 2016-02-23 |
1427479583 | Kimberly Cimino | Marriage & Family Therapist | 1101 Lake St, Suite 201, Oak Park, IL 60301-1085 | 2013-12-16 |
1942630058 | Jonathan Philip Simon | Counselor | 1101 Lake St, Oak Park, IL 60301-1085 | 2013-11-26 |
1841626603 | Amundson & Schwaratz Psychological Consulting | Community/Behavioral Health | 1101 Lake St, Suite 404, Oak Park, IL 60301-1085 | 2013-09-24 |
1932458585 | Eve E Kochman | Social Worker | 1101 Lake St, #402, Oak Park, IL 60301-1085 | 2012-08-29 |
1184991507 | Donna Marino, Psy.d., Ltd | Psychologist | 1101 Lake St, Suite 310, Oak Park, IL 60301-1085 | 2011-11-30 |
1124306378 | Essential Acupuncture, Inc. | Acupuncturist | 1101 Lake St, Suite 300, Oak Park, IL 60301-1085 | 2011-07-21 |
1508157348 | Wellness Chicago Complementary Medical Centers | Clinic/Center | 1101 Lake St, Suite 350, Oak Park, IL 60301-1085 | 2011-04-27 |
1396048062 | Jill Marie Robertson | Acupuncturist | 1101 Lake St, Suite 300, Oak Park, IL 60301-1085 | 2010-12-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
Find all providers in zip 60301 |
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 |
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1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
1215419064 | Ethos Behavioral Health | Psychologist | 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 | 2018-08-29 |
1154865590 | Destiny Peterson | Psychologist | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2016-12-05 |
1811226954 | Tara Marie Andersen | Psychologist | 8543 Oak Park Blvd, Oak Park, MI 48237-1847 | 2009-12-21 |
1396981627 | Uhs of Hartgrove, Inc | Psychologist | 101 Madison St Ste 200, Oak Park, IL 60302-4210 | 2008-12-16 |
1609081637 | Laurie Anderson | Psychologist | 206 S Kenilworth Ave, Oak Park, IL 60302-3116 | 2007-05-12 |
1255451084 | Maurice Solodky Phd P.C. | Psychologist | 1034 Pleasant St, Oak Park, IL 60302-3002 | 2007-03-29 |
1033251384 | Debora Ilene Rothbart | Psychologist | 26031 Stratford Pl, Oak Park, MI 48237-1029 | 2007-02-13 |
1871667980 | Kimberly Lisa Smith-martinez | Psychologist | 110 S Euclid Ave, Oak Park, IL 60302-2906 | 2006-11-20 |
1730293036 | Tamar A Levinson | Psychologist | 1051 N Humphrey Ave, Oak Park, IL 60302-1419 | 2006-08-17 |
Find all providers in OAK PARK |
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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.