MARY (KATIE) KATHLEEN REAGAN


Address: 1 E Superior St Ste 306, Chicago, IL 60611-2595
Phone: 3129749404

MARY (KATIE) KATHLEEN REAGAN (NPI# 1649814195) 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) 1649814195
Entity Type Individual
Full Name MARY (KATIE) KATHLEEN REAGAN
Practice Address 1 E Superior St Ste 306
Chicago
IL 60611-2595
Mailing Address 4844 N Rockwell St Apt 2f
Chicago
IL 60625-2839
Practice Telephone 3129749404
Mailing Telephone 5742765018
Enumeration Date 2019-10-28
Last Update Date 2019-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 221700000X Art Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1 E SUPERIOR ST STE 306
City CHICAGO
State IL
Zip Code 60611-2595

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548483977 Judith C Bitzer Counselor 1 E Superior St Ste 306, Chicago, IL 60611-2595 2007-04-11
1871109256 Jessica Gross Physician Assistant 1 E Superior St Ste 306, Chicago, IL 60611-2595 2020-09-21
1114542040 Staci Elizabeth Zerphey Counselor 1 E Superior St Ste 306, Chicago, IL 60611-2595 2020-06-16
1548895303 Tiffany Rogers Counselor 1 E Superior St Ste 306, Chicago, IL 60611-2595 2020-03-11
1821647280 Deja Sims Social Worker 1 E Superior St Ste 306, Chicago, IL 60611-2595 2019-09-09
1114576089 Kevin M Vail Counselor 1 E Superior St Ste 306, Chicago, IL 60611-2595 2019-09-04
1013561406 Grand Mcdonald Psychologist 1 E Superior St Ste 306, Chicago, IL 60611-2595 2019-07-24
1609429893 Alexandra Jane Gregor Physician Assistant 1 E Superior St Ste 306, Chicago, IL 60611-2595 2019-07-17
1437718632 Meredith Raque Counselor 1 E Superior St Ste 306, Chicago, IL 60611-2595 2019-06-11
1457918047 Paige Tieman Physician Assistant 1 E Superior St Ste 306, Chicago, IL 60611-2595 2019-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 221700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Art Therapist

Taxonomy Definition

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548826407 Sofia Casas Art Therapist 3717 N Leavitt St Unit 2, Chicago, IL 60618-4808 2019-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558606590 Music Institute of Chicago Art Therapist 1702 Sherman Ave, Evanston, IL 60201-3713 2012-12-03
1285840207 Georgia Margaret Grawe X Art Therapist 466 S President St, Unit 303, Carol Stream, IL 60188-3223 2007-05-15
1639230618 Michelle Alane Masbaum Art Therapist 744 Hinman Ave Apt 2, Evanston, IL 60202-4446 2006-12-13
1477172724 Kathryn Leigh Krucks Art Therapist 415 Washington St Ste 200, Waukegan, IL 60085-5564 2020-04-15
1770119935 Takenya White Art Therapist 5318 135th St, Crestwood, IL 60418-1504 2020-03-19
1942684766 Sophie Ann Canade Art Therapist 1702 Sherman Ave, Evanston, IL 60201-3713 2015-07-10
1265862981 Nicole Mcdonald Art Therapist 25145 Spring St, Manhattan, IL 60442-1402 2013-11-15
1083886071 Betty L Read-wolff Art Therapist 1560 Sherman Ave, Evanston, IL 60201-4818 2008-03-31
1518082858 Robin Lee Garber Art Therapist 852 S West St, Naperville, IL 60540-6400 2007-03-19
1457434151 Sally V Felichio Art Therapist 5th and Roosevelt Avenue, Hines, IL 60141 2006-10-24
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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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