DR. DEBRA S. MARSICO (NPI# 1679710297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679710297 |
| Entity Type | Individual |
| Full Name | DR. DEBRA S. MARSICO |
| Credential | PHD |
| Practice Address |
4200 N Oak Park Ave Chicago IL 60634-1417 |
| Practice Telephone | 7737944165 |
| Mailing Telephone | 7737944165 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071005797 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4200 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857873 | Craig Whitney Jock | Psychologist | 4200 N Oak Park Ave, Psychology Department, Chicago, IL 60634-1417 | 2005-08-09 |
| 1598902116 | Charles Joseph Stiava | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1164622361 | Yetunde Johnson | Psychiatry & Neurology | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-07-25 |
| 1013050178 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1922141084 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1780727842 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1285777342 | Idhs-chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1093858151 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1760525836 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1912053182 | Douglas Hafner | Dentist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
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| 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] |
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| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1235750860 | Dia Anjali Mason | Psychologist | 1234 N Kedzie Ave, Chicago, IL 60651-2408 | 2020-05-05 |
| 1811532880 | Emily Wolodiger | Psychologist | 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 | 2019-11-13 |
| 1518500099 | Allow Wellness LLC | Psychologist | 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 | 2019-10-28 |
| 1619510914 | Keeshawna Brooks | Psychologist | 325 N Wells St Ofc 523, Chicago, IL 60654-7024 | 2019-10-20 |
| 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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| 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.