DR. WANDA FELICIA GRANT


Address: 345 East Superior St, Chicago, IL 60611
Phone: 3122382897

DR. WANDA FELICIA GRANT (NPI# 1538368444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538368444
Entity Type Individual
Full Name DR. WANDA FELICIA GRANT
Other Name DR. WANDA FELICIA GRANT-KNIGHT
Credential PH.D.
Practice Address 345 East Superior St
Chicago
IL 60611
Mailing Address 345 East Superior Street
Chicago
IL 60190
Practice Telephone 3122382897
Mailing Telephone 3122382897
Enumeration Date 2007-07-12
Last Update Date 2007-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist IL Behavioral Health & Social Service Providers

Other Providers WANDA GRANT

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Office Location

Street Address 345 EAST SUPERIOR ST
City CHICAGO
State IL
Zip Code 60611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588033302 Elizabeth Joy Fuhrhop Physical Therapist 345 East Superior St, Rehabilitation Institute of Chicago, Chicago, IL 60611-2654 2015-09-22

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1235750860 Dia Anjali Mason Psychologist 1234 N Kedzie Ave, Chicago, IL 60651-2408 2020-05-05
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1104468800 Emotion-focused Therapy Chicago, LLC Psychologist 230 E Ohio St Ste 405, Chicago, IL 60611-5288 2019-10-14
1124660022 Lynne Lieberman Psychologist 325 S Paulina St, Chicago, IL 60612-3206 2019-10-11
1003462821 Michael Marek Maka Psychologist 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 2019-08-16
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

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.

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