DR. HARRY MIRANDA


Address: 1900 W Polk St, 840, Chicago, IL 60612-3723
Phone: 7184193344

DR. HARRY MIRANDA (NPI# 1750750725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750750725
Entity Type Individual
Full Name DR. HARRY MIRANDA
Credential PSY.D.
Practice Address 1900 W Polk St
840
Chicago
IL 60612-3723
Practice Telephone 7184193344
Mailing Telephone 7184193344
Enumeration Date 2015-09-21
Last Update Date 2020-08-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071-009158 IL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PY9254 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1900 W POLK ST
840
City CHICAGO
State IL
Zip Code 60612-3723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861478893 Steven R Bonomo Surgery 1900 W Polk St, Chicago, IL 60612-3723 2005-12-21
1679182760 Aruna N Sasikumar Registered Nurse 1900 W Polk St, Chicago, IL 60612-3723 2020-07-24
1174144810 Chelsae L May Student in an Organized Health Care Education/Training Program 1900 W Polk St, Chicago, IL 60612-3723 2020-05-05
1750930475 Kimberly Rhodes Registered Nurse 1900 W Polk St, Chicago, IL 60612-3723 2019-09-05
1992363584 Rachel Elizabeth Earl Registered Nurse 1900 W Polk St, Chicago, IL 60612-3723 2019-05-30
1356909949 Marie Roman Social Worker 1900 W Polk St, Chicago, IL 60612-3723 2019-05-30
1265090856 Kristina Coenen Counselor 1900 W Polk St, Chicago, IL 60612-3723 2019-05-30
1205396512 Luisa Patricia Guerrero Registered Nurse 1900 W Polk St, Chicago, IL 60612-3723 2019-03-22
1366902876 Liza Patria Gaines Registered Nurse 1900 W Polk St, Chicago, IL 60612-3723 2019-03-21
1629538137 Courtney Jenkins Registered Nurse 1900 W Polk St, Chicago, IL 60612-3723 2019-03-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
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
1730792151 Jenny Marie Wamsat Psychologist 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 2020-08-25
1497365910 Sara Sirota Psychologist 5443 N Broadway St # 2s, Chicago, IL 60640-1703 2020-08-10
1053920512 Alyse Renae Bedell Psychologist 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 2020-07-30
1699392688 Hongying Chen Psychologist 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 2020-06-25
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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