DR. ANDREW B MOUTON (NPI# 1477500825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477500825 |
| Entity Type | Individual |
| Full Name | DR. ANDREW B MOUTON |
| Credential | PHD |
| Practice Address |
10640 W 165th Street Orland Park IL 60467-5653 |
| Practice Telephone | 7083640261 |
| Practice Fax Number | 7083646019 |
| Mailing Telephone | 7083640261 |
| Mailing Fax Number | 7083646019 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071004325 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 071004325 | 01 |
| Street Address |
10640 W 165TH STREET |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-5653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720035843 | Sigma Health PC | Psychologist | 10640 W 165th Street, Orland Park, IL 60467-5653 | 2006-05-27 |
| 1548307234 | Ayelet Snow II | Pediatrics | 10640 W 165th Street, Orland Park, IL 60467 | 2007-01-31 |
| 1497804454 | Roukan Jazayerli | Specialist | 10640 W 165th Street, Orland Park, IL 60467-5653 | 2007-01-09 |
| 1750338216 | Helen Gartner Martin | Internal Medicine | 10640 W 165th Street, Orland Park, IL 60467-5653 | 2006-05-30 |
| 1205883758 | Associates In Sleep Medicine LLC | Psychologist | 10640 W 165th Street, Orland Park, IL 60467-5653 | 2006-05-30 |
| 1033166483 | Barry E Levy | Psychiatry & Neurology | 10640 W 165th Street, Orland Park, IL 60467-5653 | 2006-05-30 |
| 1053368936 | Michael Ralph Scherer | Psychologist | 10640 W 165th Street, Orland Park, IL 60467-5653 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942648761 | Insightful Solutions PC | Psychologist | 10310 Orland Pkwy, Suite 201, Orland Park, IL 60467-5628 | 2013-06-14 |
| 1306104443 | Michele Louise Ferraro | Psychologist | 9439 W 144th Pl, Orland Park, IL 60462-2543 | 2012-04-26 |
| 1821244492 | Abdul Basit | Psychologist | 15020 Ravinia Ave, Suite 29, Orland Park, IL 60462 | 2008-08-14 |
| 1174736821 | Newsome & Associates, Ltd. | Psychologist | 200 Ravinia Pl, Orland Park, IL 60462-3755 | 2007-05-08 |
| 1619098282 | Terri Christiansen, Ph.d., Ltd. | Psychologist | 11903 Cormoy Ln, Orland Park, IL 60467-8539 | 2007-04-02 |
| 1922131622 | Victoria Reid | Psychologist | 15255 S 94th Ave, Ste 500, Orland Park, IL 60462-3895 | 2007-03-13 |
| 1285766535 | Dr. Amy Suszko Brown | Psychologist | 9601 West 165th Street, Suite 6, Orland Park, IL 60467 | 2007-03-12 |
| 1194863951 | Nina Gritzalis | Psychologist | 14716 Holly Ct, Orland Park, IL 60462-3164 | 2007-02-02 |
| 1861540361 | Mickey J. Morgan | Psychologist | 14425 Mason Ln, Orland Park, IL 60462-2662 | 2007-01-08 |
| 1790861664 | Eugene Paul Holmes | Psychologist | 1800 Ravinia Pl, Orland Park, IL 60462-3761 | 2006-10-31 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
Please comment or provide details below to improve the information on DR. ANDREW B MOUTON.
| 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.