DR. MICAH IOFFE (NPI# 1659721967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659721967 |
Entity Type | Individual |
Full Name | DR. MICAH IOFFE |
Credential | PH.D. |
Practice Address |
1300 W Belmont Ave Ste 501 Chicago IL 60657 |
Mailing Address |
1300 W Belmont Ave Ste 501 Chicago IL 60657-3242 |
Practice Telephone | 8155086880 |
Mailing Telephone | 3125083645 |
Enumeration Date | 2016-06-16 |
Last Update Date | 2019-01-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2138 S Indiana Ave, Unit 1008, Chicago, IL 606164930 | 8155086880 |
Street Address |
1300 W BELMONT AVE STE 501 |
City | CHICAGO |
State | IL |
Zip Code | 60657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528603529 | Stephanie Lynn Hayley Lazar | Counselor | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2019-11-13 |
1104470814 | Leslie Lynn Lund | Counselor | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2019-07-31 |
1629638168 | Ashley Plantz | Social Worker | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2019-06-17 |
1083186514 | Anne Louise Gleason | Counselor | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2018-12-21 |
1700356771 | Ashley Henderson | Social Worker | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2018-12-03 |
1093281784 | Dominique Apollon | Counselor | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2018-10-19 |
1588130272 | Stephanie Kaufman | Social Worker | 1300 W Belmont Ave Ste 501, Chicago, IL 60657-3242 | 2018-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
Find all providers in zip 60657 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
1689951519 | Jesse Klein | Psychologist | 639 W Diversey Pkwy Ste 207, Chicago, IL 60614-1535 | 2011-11-06 |
1639357486 | Victor J Bernstein | Psychologist | 2045 W Waveland Ave, Chicago, IL 60618-4949 | 2008-02-04 |
1114113487 | Bradley C Stolbach | Psychologist | 6700 S. Promontory Drive, Chicago, IL 60649 | 2007-09-20 |
1023227469 | Thomas F. Barrett | Psychologist | 1030 N. Clark St., Suite 303, Chicago, IL 60610 | 2007-05-22 |
1316085954 | Carroll A Cradock | Psychologist | 411 S Sangamon St, Suite 2a, Chicago, IL 60607-3547 | 2007-02-04 |
Find all providers in CHICAGO |
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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.