DR. LAWRENCE PAUL MAUCIERI JR. (NPI# 1457427239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457427239 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE PAUL MAUCIERI JR. |
| Credential | PH.D. |
| Practice Address |
203 N Wabash Ave Suite 2106 Chicago IL 60601-2406 |
| Mailing Address |
640 W Sheridan Rd Apartment 409 Chicago IL 60613-3320 |
| Practice Telephone | 7734019831 |
| Mailing Telephone | 7734019831 |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1635586 | 01 |
| Street Address |
203 N WABASH AVE SUITE 2106 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340776 | Richard Goldwasser | Psychologist | 203 N Wabash Ave, Suite 2000, Chicago, IL 60601-2417 | 2006-03-14 |
| 1205134749 | Heidi Beucher | Acupuncturist | 203 N Wabash Ave, Suite 1007, Chicago, IL 60601-2406 | 2011-03-08 |
| 1578721817 | Mary Gardner | Psychologist | 203 N Wabash Ave, Suite 1805, Chicago, IL 60601-2406 | 2008-05-22 |
| 1376726398 | Infinite Positivity, Inc. | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-12-13 |
| 1801001789 | Julia Lynn Banta | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-05-13 |
| 1215150412 | Prem K Pahwa | Social Worker | 203 N Wabash Ave, Suite 701, Chicago, IL 60601-2406 | 2007-04-10 |
| 1710003512 | Kimberly A. Sharky | Marriage & Family Therapist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-03-22 |
| 1770614315 | Mary F. Andrus | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-03-07 |
| 1770654816 | Gardner Psychological Associates, Inc. | Psychologist | 203 N Wabash Ave, Suite 1805, Chicago, IL 60601-2406 | 2006-11-12 |
| 1952489981 | Brian L Ragsdale | Psychologist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2408 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
| Find all providers in zip 60601 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
| 1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
| 1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
| 1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
| 1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
| 1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. LAWRENCE PAUL MAUCIERI JR..
| 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.