PEDIATRIC CONSULTATION CENTER AND ASSOCIATES LLC


Address: 3633 W Lake Ave, Suite 406, Glenview, IL 60026-5805
Phone: 8476579885

PEDIATRIC CONSULTATION CENTER AND ASSOCIATES LLC (NPI# 1760840870) 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) 1760840870
Entity Type Organization
Organization Name PEDIATRIC CONSULTATION CENTER AND ASSOCIATES LLC
Practice Address 3633 W Lake Ave
Suite 406
Glenview
IL 60026-5805
Practice Telephone 8476579885
Mailing Telephone 8476579885
Enumeration Date 2016-02-03
Last Update Date 2016-02-03
Authorized Official Name SHARON JOHNSON (OWNER)
Authorized Official Telephone 8476579885
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 071006756 IL Behavioral Health & Social Service Providers

Office Location

Street Address 3633 W LAKE AVE
SUITE 406
City GLENVIEW
State IL
Zip Code 60026-5805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124014642 Sue Kim Otolaryngology 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 2005-09-20
1821519083 Jennifer Lynn Ernst Counselor 3633 W Lake Ave, Glenview, IL 60026-5805 2017-06-28
1487103354 Drozdz Dental Services, Inc. Clinic/Center 3633 W Lake Ave, Suite 409, Glenview, IL 60026-5805 2016-10-03
1720473275 Kathryn Padula Social Worker 3633 W Lake Ave, Suite 306, Glenview, IL 60026-5805 2015-04-01
1497153951 Independent Living Home Care, Inc In Home Supportive Care 3633 W Lake Ave, Ste Ll22b, Glenview, IL 60026-5805 2014-12-16
1467861005 Andrea Gilman Occupational Therapist 3633 W Lake Ave, Suite 102d, Glenview, IL 60026-5805 2014-08-07
1487065132 Megan Christine Williams Counselor 3633 W Lake Ave, Suite 305, Glenview, IL 60026-5805 2014-05-15
1871923474 Advanced Care Health Services, Inc Home Health 3633 W Lake Ave, Glenview, IL 60026-5805 2013-11-18
1902243090 Life Reset Solutions, P.C. Clinic/Center 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 2013-05-29
1619313244 Excelcare Connect, Inc. Home Health 3633 W Lake Ave, Suite Ll21, Glenview, IL 60026-5805 2013-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093322091 Aven Dones Occupational Therapy Assistant 2600 W Compass Dr, Glenview, IL 60026 2020-09-24
1528670692 Help and Healing Center LLC Psychologist 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 2020-08-20
1487288577 Susan D Taylor Physical Therapy Assistant Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 2020-02-27
1952868135 Beltone Holdings IIi, Inc. Hearing Instrument Specialist 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 2019-02-25
1588145007 Trislyn Deett Palmer Occupational Therapist Select Rehab, 2600 Compass Road, Glenview, IL 60026 2018-08-23
1528579901 Julia Elizabeth Sames Physician Assistant 2701 Patriot Blvd Ste 110, Glenview, IL 60026 2017-10-12
1316474711 Tru Impact Healthcare Sc Internal Medicine 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 2017-05-16
1700251519 Okoon Psychology Group PC Clinical Neuropsychologist 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 2015-12-04
1497136642 Nayantara S. Orekondy Internal Medicine 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 2015-06-13
1154745792 Eleanor Finney Vita Occupational Therapist 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 2014-02-18
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922403237 Lizabeth Leigh Jordan Clinical Neuropsychologist 2300 Lehigh Ave Ste 215, Glenview, IL 60026-1692 2014-10-29
1902033715 Alona Ramati Clinical Neuropsychologist 2150 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1361 2009-06-18
1760664098 Sharon Z Johnson Clinical Neuropsychologist 3633 W Lake Ave, Suite 406, Glenview, IL 60026-5805 2007-11-28
1629258926 Jeffrey H O'koon Clinical Neuropsychologist 3633 W Lake Ave, Suite 406, Glenview, IL 60026-5805 2007-11-05
1346303054 The Pediatric Consultation Center Clinical Neuropsychologist 3633 W Lake Ave, Suite 306, Glenview, IL 60026-5805 2006-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477183556 Michelle Yvonne Kibby-faglier Clinical Neuropsychologist 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 2020-01-17
1003456708 David Jackson Clinical Neuropsychologist 6 Parkway North Blvd, Deerfield, IL 60015-2522 2020-01-10
1649830159 Natalie Berger Clinical Neuropsychologist 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 2019-06-17
1043877475 Sarah Mailander Dyer Clinical Neuropsychologist 900 Royal Heights Rd Ste 14, Belleville, IL 62226-5457 2019-05-21
1639655632 Julia Digangi Clinical Neuropsychologist 920 N York Rd, Hinsdale, IL 60521-2996 2018-07-13
1891211710 Kenneth Vicencio Clinical Neuropsychologist 4100 Healthway Drive, Aurora, IL 60504 2017-08-22
1538690466 Kathleen Ares Clinical Neuropsychologist 4440 W 95th, Suite 1200h, Oak Lawn, IL 60453 2017-03-22
1225575871 Israel Gross Clinical Neuropsychologist 1934 W. Roscoe St., #4, Chicago, IL 60657 2017-01-20
1013462829 Ann Westcot Jordan Clinical Neuropsychologist 21037 Benjamin Dr, Shorewood, IL 60404-0612 2016-08-22
1740638915 Elizabeth Regina Tuminello Hartman Clinical Neuropsychologist 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 2016-05-29
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Competitor

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City GLENVIEW
Zip Code 60026

Improve Information

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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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