DR. K. LARA BEANBLOSSOM (NPI# 1427184795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427184795 |
| Entity Type | Individual |
| Full Name | DR. K. LARA BEANBLOSSOM |
| Other Name | DR. KATHARINE LARA BEANBLOSSOM |
| Credential | PSYD |
| Practice Address |
545 Lincoln Ave Ste 4 Winnetka IL 60093-2349 |
| Mailing Address |
30 N Michigan Ave Ste 901 Chicago IL 60602-3767 |
| Practice Telephone | 3123859777 |
| Mailing Telephone | 3123859777 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006369 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 N Michigan Ave, Ste 901, Chicago, IL 606023767 | 3123859777 |
| Street Address |
545 LINCOLN AVE STE 4 |
| City | WINNETKA |
| State | IL |
| Zip Code | 60093-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859891 | Grace R Sun | Occupational Therapist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2020-04-14 |
| 1093352122 | Olufolatimi Akinrinade | Occupational Therapist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2019-12-09 |
| 1982106647 | Michele O'reilly Studl LLC | Psychologist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2018-03-08 |
| 1528192556 | Rena Goodfriend-leve | Psychiatry & Neurology | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649483744 | Carol Eileen Jansson | Psychologist | 199 Church Rd, Winnetka, IL 60093-3905 | 2007-05-07 |
| 1558448761 | Sally Jane Hoit | Psychologist | 1050 Gage St, Winnetka, IL 60093-1742 | 2006-11-01 |
| 1275620775 | Linda Lou Millon | Psychologist | 460 Winnetka Ave Ste 9, Winnetka, IL 60093-4206 | 2006-10-06 |
| 1184719189 | Lail L. Herman | Psychologist | 1051 Cherry St, Winnetka, IL 60093-2112 | 2006-10-04 |
| 1710086269 | Consulting & Clinical Psychology | Psychologist | 458 Winnetka Ave, #204, Winnetka, IL 60093-4266 | 2006-09-21 |
| 1528163078 | Michele Oreilly Studl | Psychologist | 545 Lincoln Av, Winnetka, IL 60093 | 2006-09-13 |
| 1649383902 | David Charles Clark | Psychologist | 552 Lincoln Ave Ste 205, Winnetka, IL 60093-2353 | 2006-08-17 |
| 1982106647 | Michele O'reilly Studl LLC | Psychologist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2018-03-08 |
| 1407226855 | Rebecca Wynne Denosaquo-murray | Psychologist | 545 Lincoln Ave, Suite 15, Winnetka, IL 60093-2349 | 2015-09-28 |
| 1003075979 | Rebecca Wynne Denosaquo | Psychologist | 545 Lincoln Ave, Suite 15, Winnetka, IL 60093-2349 | 2008-06-05 |
| Find all providers in WINNETKA | ||||
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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.