DR. LAURIE ANDERSON (NPI# 1609081637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609081637 |
| Entity Type | Individual |
| Full Name | DR. LAURIE ANDERSON |
| Credential | PH.D. |
| Practice Address |
206 S Kenilworth Ave Oak Park IL 60302-3116 |
| Practice Telephone | 7085242444 |
| Mailing Telephone | 7085242444 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814398 | Laurie K Anderson | Social Worker | 287 Lund Farm Way, Brewster, MA 02631-1920 | 2018-09-14 |
| 1841569712 | Laurie Anderson | Counselor | 6797 N High St Ste 100, Worthington, OH 43085-2533 | 2011-12-22 |
| 1316132160 | Laurie O Anderson | Counselor | 450 N Causeway Blvd, Suite B, Mandeville, LA 70448-4699 | 2007-09-13 |
| 1548366461 | Laurie Anderson | Internal Medicine | 800 1/2 Prospect Blvd, Pasadena, CA 91103-3206 | 2006-09-16 |
| 1114559473 | Laurie A Anderson | Pharmacist | 1605 N Broadway St, Red Oak, IA 51566-1027 | 2020-02-05 |
| 1417485251 | Laurie Marie Anderson | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2017-05-24 |
| 1841618683 | Laurie M Anderson | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2014-03-30 |
| 1982969481 | Laurie Beth Anderson | Counselor | 60 Main St, Suite 300, Nashua, NH 03060-2720 | 2012-07-10 |
| 1679856124 | Laurie Anderson | Pharmacist | 794 S Park St, Carrollton, GA 30117-3826 | 2011-09-21 |
| 1174772636 | Laurie Ruth Anderson | Counselor | 800 Cummings Ctr, Suite 266t, Beverly, MA 01915-6175 | 2008-09-09 |
| Street Address |
206 S KENILWORTH AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1215419064 | Ethos Behavioral Health | Psychologist | 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 | 2018-08-29 |
| 1154865590 | Destiny Peterson | Psychologist | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2016-12-05 |
| 1811226954 | Tara Marie Andersen | Psychologist | 8543 Oak Park Blvd, Oak Park, MI 48237-1847 | 2009-12-21 |
| 1396981627 | Uhs of Hartgrove, Inc | Psychologist | 101 Madison St Ste 200, Oak Park, IL 60302-4210 | 2008-12-16 |
| 1255451084 | Maurice Solodky Phd P.C. | Psychologist | 1034 Pleasant St, Oak Park, IL 60302-3002 | 2007-03-29 |
| 1033251384 | Debora Ilene Rothbart | Psychologist | 26031 Stratford Pl, Oak Park, MI 48237-1029 | 2007-02-13 |
| 1871667980 | Kimberly Lisa Smith-martinez | Psychologist | 110 S Euclid Ave, Oak Park, IL 60302-2906 | 2006-11-20 |
| 1730293036 | Tamar A Levinson | Psychologist | 1051 N Humphrey Ave, Oak Park, IL 60302-1419 | 2006-08-17 |
| 1235169335 | Neal J Gordon | Psychologist | 433 Wisconsin Ave, Oak Park, IL 60302-3688 | 2006-07-04 |
| Find all providers in OAK PARK | ||||
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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.