ST MARYS PSYCHOLOGICAL SERVICE, INC (NPI# 1720370026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720370026 |
| Entity Type | Organization |
| Organization Name | ST MARYS PSYCHOLOGICAL SERVICE, INC |
| Practice Address |
100 N River Rd Des Plaines IL 60016-1209 |
| Mailing Address |
20654 N Plumwood Dr Kildeer IL 60047-8500 |
| Practice Telephone | 8478945169 |
| Mailing Telephone | 8478945169 |
| Mailing Fax Number | 3122550362 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |
| Authorized Official Name | DR. MAGGIE I BISHAY (PRESIDENT) |
| Authorized Official Telephone | 8478945169 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 180-007684 | IL | Behavioral Health & Social Service Providers |
| Street Address |
100 N RIVER RD |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548364037 | Chandra B Reddy | Anesthesiology | 100 N River Rd, Des Plaines, IL 60016-1209 | 2006-09-12 |
| 1609415587 | Timothy David Nolan | Occupational Therapist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2019-12-24 |
| 1649683533 | Continental Anesthesia Holdings LLC | Anesthesiology | 100 N River Rd, Des Plaines, IL 60016-1209 | 2014-06-09 |
| 1669711933 | Lyju Lukose | Physical Therapist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2013-02-06 |
| 1821334442 | Christine Krill | Occupational Therapist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2012-12-31 |
| 1609111632 | Diane Ratto | Physical Therapist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2012-12-03 |
| 1265781165 | Lisa Jan Levy | Speech-Language Pathologist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2012-09-06 |
| 1245587765 | Zakaria Mohd Wahbi Almuwaqqat | Hospitalist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2012-08-15 |
| 1629325006 | Christie Stocking | Occupational Therapist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2012-08-06 |
| 1518214840 | Teresa Rao | Speech-Language Pathologist | 100 N River Rd, Des Plaines, IL 60016-1209 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
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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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649646845 | Lina Liu, Psy.d., Inc. | Psychologist | 318 Laurel Ave, Des Plaines, IL 60016-4370 | 2015-08-11 |
| 1952540684 | Northwest Guidance Center | Psychologist | 800 Lee St, Des Plaines, IL 60016-6448 | 2009-02-19 |
| 1316122898 | James M Dugo | Psychologist | 84 N Broadway St, Des Plaines, IL 60016-2348 | 2008-01-03 |
| 1588749899 | Partners In Psychiatry Ltd | Psychologist | 484 Lee St, Des Plaines, IL 60016-4610 | 2006-10-26 |
| 1730589383 | Cynthia Kane | Psychologist | 950 Lee St, Suite 210, Des Plaines, IL 60016-6532 | 2014-09-02 |
| 1740368364 | William Schaefer | Psychologist | 484 Lee St, Des Plaines, IL 60016-4610 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
| 1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1548873771 | Michael Wierman | Psychologist | 545 Newport Ct, Island Lake, IL 60042-9137 | 2020-08-27 |
| 1295348506 | Amaoli LLC | Psychologist | 164 Division St Ste 617, Elgin, IL 60120-5533 | 2020-08-26 |
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
| 1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
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| City | DES PLAINES |
| Zip Code | 60016 |
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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.