CHICAGO NEURODEVELOPMENTAL CENTER (NPI# 1427501469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427501469 |
| Entity Type | Organization |
| Organization Name | CHICAGO NEURODEVELOPMENTAL CENTER |
| Practice Address |
601 Skokie Blvd Suite 203 Northbrook IL 60062-2851 |
| Practice Telephone | 8472722484 |
| Mailing Telephone | 8472722484 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | ANNE HOWARD (CLINICAL PSYCHOLOGIST/CO-OWNER) |
| Authorized Official Telephone | 8472722484 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071008032 | IL | Behavioral Health & Social Service Providers |
| Street Address |
601 SKOKIE BLVD SUITE 203 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972533966 | Progressive Home Health Care Inc. | Home Health | 601 Skokie Blvd, Suite 303, Northbrook, IL 60062-2851 | 2006-07-04 |
| 1215459516 | Maggie Kozmin | Psychologist | 601 Skokie Blvd, Northbrook, IL 60062-2851 | 2017-07-09 |
| 1760925887 | Karen Altenberg Libman | Social Worker | 601 Skokie Blvd, Suite 104, Northbrook, IL 60062-2851 | 2016-11-21 |
| 1558744326 | Lakeshore Psychology Group LLC | Psychologist | 601 Skokie Blvd, Suite 104, Northbrook, IL 60062-2851 | 2015-06-29 |
| 1194113357 | Center for Psychology and Wellness, P.C. | Psychologist | 601 Skokie Blvd, Suite #ll-5d, Northbrook, IL 60062-2851 | 2014-12-22 |
| 1487901609 | Anna R Basov | Counselor | 601 Skokie Blvd, Suite #ll-5d, Northbrook, IL 60062-2851 | 2012-08-07 |
| 1083918320 | Anne M Vierling | Psychologist | 601 Skokie Blvd, Suite 203, Northbrook, IL 60062-2851 | 2010-12-30 |
| 1669682555 | Maria Kraszynska | General Practice | 601 Skokie Blvd, Northbrook, IL 60062-2851 | 2007-05-22 |
| 1265560114 | Cynthia Cassidy | Psychologist | 601 Skokie Blvd, Suite 500, Northbrook, IL 60062-2851 | 2007-03-01 |
| 1285712208 | Suzette Rush-drake | Psychologist | 601 Skokie Blvd, Suite 305, Northbrook, IL 60062-2851 | 2006-11-01 |
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| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106771 | Erica Aten | Psychologist | 255 Revere Dr Ste 100, Northbrook, IL 60062-1595 | 2019-04-03 |
| 1083918320 | Anne M Vierling | Psychologist | 601 Skokie Blvd, Suite 203, Northbrook, IL 60062-2851 | 2010-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441603 | Jasmine Dominique Jones | Psychologist | 19041 Willow Ave, Country Club Hills, IL 60478-5740 | 2019-11-18 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
| 1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
| 1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
| 1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
| 1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
| 1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
| 1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
| 1891044038 | Irma Porcic Khelghati | Psychologist | 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 | 2012-09-04 |
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| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on CHICAGO NEURODEVELOPMENTAL CENTER.
| 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.