DR. MARY M CLARKE (NPI# 1437430089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437430089 |
| Entity Type | Individual |
| Full Name | DR. MARY M CLARKE |
| Credential | PH.D. |
| Practice Address |
3656 N Halsted St Chicago IL 60613-5974 |
| Mailing Address |
4343 N Clarendon Ave 1803 Chicago IL 60613-2698 |
| Practice Telephone | 7734726643 |
| Mailing Telephone | 7739881621 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071007617 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477789717 | Mary Agnes Clarke | Speech-Language Pathologist | 1311 Tower Grove Ave, Saint Louis, MO 63110-3837 | 2009-06-01 |
| 1598944738 | Mary Beth Clarke | Nurse Anesthetist, Certified Registered | 1540 Anne Dr, West Chester, PA 19380-6319 | 2007-10-24 |
| 1477502128 | Mary Evadne Clarke | Internal Medicine | Dmcc, State Farm, VA 23160 | 2006-05-09 |
| 1922061886 | Mary Christine Clarke | Nurse Practitioner | 25518 Wounded Knee, San Antonio, TX 78261 | 2006-04-10 |
| 1033604772 | Mary Dorsey Clarke | Occupational Therapist | 4840 Waller Rd # 200, Richmond, VA 23230-2912 | 2018-06-26 |
| 1861753444 | Mary Ann Clarke | Social Worker | 57 Dora Ln, Greenup, KY 41144-1187 | 2012-05-31 |
| 1760668073 | Mary K Clarke | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2008-01-16 |
| 1801913801 | Mary Kimberly Clarke | Nurse Practitioner | 500 Carolina Meadows, Chapel Hill, NC 27517-8471 | 2007-03-23 |
| 1114077567 | Mary Catherine (kay) Clarke | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2007-01-10 |
| 1194839589 | Mary Clarke | Family Medicine | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2006-08-19 |
| Street Address |
3656 N HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-5974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824244 | Center On Halsted | Clinic/Center | 3656 N Halsted St, Chicago, IL 60613-4316 | 2006-05-03 |
| 1104464791 | Dhl Consulting Company LLC | Social Worker | 3656 N Halsted St, Chicago, IL 60613-5974 | 2019-12-14 |
| 1184187502 | Chance Ramirez | Counselor | 3656 N Halsted St, Chicago, IL 60613-5974 | 2019-04-11 |
| 1003387952 | Jeffrey Glen Strozier | Counselor | 3656 N Halsted St, Chicago, IL 60613-5974 | 2018-12-17 |
| 1265918866 | Luis Alberto Couret Jr. | Counselor | 3656 N Halsted St, Chicago, IL 60613-5974 | 2018-07-17 |
| 1205382272 | Michael M Kocet | Counselor | 3656 N Halsted St, Chicago, IL 60613-5974 | 2016-08-30 |
| 1528427390 | Ashley Molin | Psychologist | 3656 N Halsted St, Chicago, IL 60613-5974 | 2016-02-22 |
| 1194183228 | Benjamin Walker | Social Worker | 3656 N Halsted St, Chicago, IL 60613-5974 | 2016-02-03 |
| 1891037479 | Rachel L Tillman | Counselor | 3656 N Halsted St, Center On Halsted, Chicago, IL 60613-5974 | 2013-03-21 |
| 1174862619 | Jill Ann Bajorek | Social Worker | 3656 N Halsted St, Ste A, Chicago, IL 60613-5974 | 2013-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 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 |
| 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 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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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.