GLENDALE PSYCHOLOGICAL SERVICES (NPI# 1700197480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700197480 |
| Entity Type | Organization |
| Organization Name | GLENDALE PSYCHOLOGICAL SERVICES |
| Practice Address |
125 Fairfield Way Ste 280 Bloomingdale IL 60108-1577 |
| Practice Telephone | 6304405406 |
| Practice Fax Number | 6308120443 |
| Mailing Telephone | 6304405406 |
| Mailing Fax Number | 6308120443 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | DR. CRAIG WARREN HJORTH (PRES.) |
| Authorized Official Telephone | 6304405406 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071003308 | IL | Behavioral Health & Social Service Providers |
| Street Address |
125 FAIRFIELD WAY STE 280 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-1577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760675896 | Martha H Angel | Psychologist | 292 Lorraine Cir, Bloomingdale, IL 60108-2547 | 2007-08-22 |
| 1720613045 | Javier Antonio Cortez | Psychologist | 311 Edgewater Dr, Bloomingdale, IL 60108-1979 | 2020-03-06 |
| 1336507342 | Niccole K Brusa | Psychologist | 121 Fairfield Way, Suite 240, Bloomingdale, IL 60108-1588 | 2016-02-04 |
| 1578963013 | Jennifer Jackman Charles | Psychologist | 1 Tiffany Pt, Suite 117, Bloomingdale, IL 60108-2936 | 2014-09-03 |
| 1629409651 | Melissa Ann Cinquegrani-pence | Psychologist | 1 Tiffany Pt, #105, Bloomingdale, IL 60108-2936 | 2013-12-02 |
| 1447485800 | Jennifer R Stelter | Psychologist | 1 Tiffany Pt, Ste 111, Bloomingdale, IL 60108-2936 | 2009-05-28 |
| 1447473590 | Dr.lalita Batra & Associates | Psychologist | 303 E Army Trail Rd, Suite-207, Bloomingdale, IL 60108-2169 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on GLENDALE PSYCHOLOGICAL SERVICES.
| 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.