DR. TRACI E. POWELL (NPI# 1457356958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356958 |
| Entity Type | Individual |
| Full Name | DR. TRACI E. POWELL |
| Credential | MD |
| Practice Address |
9415 S Western Ave Ste 201a Chicago IL 60620-6230 |
| Mailing Address |
2944 W 86th Pl Chicago IL 60652-3830 |
| Practice Telephone | 7737799700 |
| Practice Fax Number | 7737799732 |
| Mailing Telephone | 7734717795 |
| Mailing Fax Number | 7734717796 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396056537 | Traci Kay Powell | Speech-Language Pathologist | 2305 Fleming Dr, West Lafayette, IN 47906-5115 | 2010-06-22 |
| 1760814016 | Traci Denise Powell | Social Worker | 11235 Oak Leaf Dr, Suite 110, Silver Spring, MD 20901-1318 | 2013-08-08 |
| 1598016883 | Traci Lynn Powell | Nurse Practitioner | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2012-09-26 |
| 1013149939 | Traci A Powell | Nurse Practitioner | 31891 State Route 93, Mc Arthur, OH 45651-9006 | 2009-08-11 |
| Street Address |
9415 S WESTERN AVE STE 201A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60620-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374247 | Diamond Dialysis Inc. | Clinic/Center | 9415 S Western Ave, Ste 105, Chicago, IL 60620-6232 | 2005-05-27 |
| 1295379279 | Retake On Life | Counselor | 9415 S Western Ave, Chicago, IL 60643-6700 | 2019-11-01 |
| 1508414723 | Glc Wellness Center Illinois LLC | Case Management | 9415 S Western Ave, Chicago, IL 60643-6700 | 2019-08-30 |
| 1598004285 | Associates In Primary Care, Sc | Internal Medicine | 9415 S Western Ave, Suite 209, Chicago, IL 60643-6700 | 2013-01-31 |
| 1659511426 | Alice Jean Gibson | Counselor | 9415 S Western Ave, Suite 117, Chicago, IL 60643-6700 | 2009-03-05 |
| 1043404023 | Wellness Home Care, Inc. | Home Health | 9415 S Western Ave, Suite 109, Chicago, IL 60643-6700 | 2007-09-01 |
| 1043301393 | Atrium Healthcare Services, LLC | Home Health | 9415 S Western Ave, Suite # 110, Chicago, IL 60643 | 2006-09-28 |
| 1023126273 | Philip L Ware | Social Worker | 9415 S Western Ave, Chicago, IL 60643-6700 | 2006-08-28 |
| 1104809755 | Cedric L Coleman | Internal Medicine | 9415 S Western Ave, Ste 209, Chicago, IL 60643-6700 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358182 | Kenya Reed | Developmental Therapist | 8920 S Loomis St, Apt 116, Chicago, IL 60620 | 2020-05-26 |
| 1255820031 | Bnd Transportation | Non-emergency Medical Transport (VAN) | 9436 S Laflin St # 3, Chicago, IL 60620 | 2018-05-07 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1598200164 | Julie Rae Scott | Social Worker | 400 W 76th Street, Suite 226, Chicago, IL 60620 | 2017-01-05 |
| 1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
| 1629488788 | Renee Victoria Green | Counselor | 9415 S. Lowe, Chicago, IL 60620 | 2014-04-29 |
| 1588085138 | Steven Hsu | Chiropractor | 9415 S. Western Ave., Suite 207, Chicago, IL 60620 | 2013-12-30 |
| 1164791810 | Richard Kasper | Pharmacist | 7901 S Western, Chicago, IL 60620 | 2011-12-27 |
| 1992089916 | Michawn Willis | Pharmacist | 8636 S Ashland, Chicago, IL 60620 | 2011-10-10 |
| 1770884314 | Gjm Consultant Services PC | Home Health | 400 W. 76th Street, Suite 202, Chicago, IL 60620 | 2010-11-13 |
| Find all providers in zip 60620 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
| 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.