DR. CARLY WALDER (NPI# 1659685154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659685154 |
| Entity Type | Individual |
| Full Name | DR. CARLY WALDER |
| Credential | PSY.D. |
| Practice Address |
899 Skokie Blvd Suite 204 Northbrook IL 60062-4019 |
| Practice Telephone | 8475593240 |
| Mailing Telephone | 8475593240 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071.009161 | IL | Behavioral Health & Social Service Providers |
| Street Address |
899 SKOKIE BLVD SUITE 204 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639215460 | John Bartok | Clinical Neuropsychologist | 899 Skokie Blvd, Suite 230, Northbrook, IL 60062-4019 | 2007-01-29 |
| 1073120655 | Jaime Lenhart | Social Worker | 899 Skokie Blvd, Northbrook, IL 60062-4019 | 2020-09-28 |
| 1700337037 | Carly Walder, Psy.d., LLC | Psychologist | 899 Skokie Blvd, Suite 204, Northbrook, IL 60062-4019 | 2016-10-21 |
| 1215182548 | Genevieveconkeythorntonllc | Psychologist | 899 Skokie Blvd, 204, Northbrook, IL 60062-4019 | 2008-12-01 |
| 1093993529 | Todd Kestin | Social Worker | 899 Skokie Blvd, Suite 204, Northbrook, IL 60062-4019 | 2008-02-06 |
| 1730373382 | The Chicago Stress Relief Center, Inc | Psychologist | 899 Skokie Blvd, Ste 430, Northbrook, IL 60062-4019 | 2007-08-28 |
| 1790903102 | Rory Gilbert Lcsw Cadc Ltd | Social Worker | 899 Skokie Blvd, Suite 430, Northbrook, IL 60062-4019 | 2007-04-23 |
| 1093938425 | James R. Sands | Psychologist | 899 Skokie Blvd, Suite 230, Northbrook, IL 60062-4019 | 2007-04-11 |
| 1053534214 | Mary F. Fisher | Psychologist | 899 Skokie Blvd, Suite 328, Northbrook, IL 60062-4019 | 2007-04-10 |
| 1992836563 | Mind for Health Resources, Ltd. | Psychologist | 899 Skokie Blvd, Suite 304, Northbrook, IL 60062-4019 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1730545195 | Alicia Jones Arkin | Psychologist | 601 Skokie Blvd Ste 104, Northbrook, IL 60062-2817 | 2016-01-14 |
| 1558769109 | Lora Van Arsdell | Psychologist | 5 Revere Dr Ste 200, Northbrook, IL 60062-8000 | 2014-12-15 |
| 1013152610 | Art of Psychology, Inc. | Psychologist | 948 Enfield Dr, Northbrook, IL 60062-5987 | 2008-12-10 |
| 1710057591 | Joseph Barr | Psychologist | 601 Skokie Blvd Ste 201, Northbrook, IL 60062-2818 | 2006-11-08 |
| 1508976499 | Paul John Heaton | Psychologist | 3000 Dundee Rd, Suite 411, Northbrook, IL 60062-2422 | 2006-08-30 |
| 1205478542 | Shana Anne Franklin | Psychologist | 666 Dundee Rd Ste 305, Northbrook, IL 60062-2726 | 2019-10-08 |
| 1649764622 | Bianca M Schaefer | Psychologist | 900 Skokie Blvd Ste 115, Northbrook, IL 60062 | 2018-06-21 |
| 1407362189 | Mark Mosk | Psychologist | 400 Skokie Blvd Ste 245, Northbrook, IL 60062-7932 | 2017-12-18 |
| 1215466032 | Natalia Kaczmarek | Psychologist | 900 Skokie Blvd Ste 115, Northbrook, IL 60062-4014 | 2017-06-06 |
| 1871044289 | Sarah Ticker | Psychologist | 215 Revere Dr, Suite 1a, Northbrook, IL 60062-1556 | 2016-10-20 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.