JENNIFER PALEY EDIDIN (NPI# 1790181253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790181253 |
Entity Type | Individual |
Full Name | JENNIFER PALEY EDIDIN |
Credential | PH.D. |
Practice Address |
790 W Frontage Rd Suite 209 Northfield IL 60093-1204 |
Practice Telephone | 8474414433 |
Practice Fax Number | 8474414430 |
Mailing Telephone | 8474414433 |
Mailing Fax Number | 8474414430 |
Enumeration Date | 2014-11-11 |
Last Update Date | 2014-11-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071-008227 | IL | Behavioral Health & Social Service Providers |
Street Address |
790 W FRONTAGE RD SUITE 209 |
City | NORTHFIELD |
State | IL |
Zip Code | 60093-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952521700 | Joann Bentley Hoeppner | Psychologist | 790 W Frontage Rd, Northfield, IL 60093-1204 | 2007-04-26 |
1366782989 | Dana Plous Lcsw LLC | Social Worker | 790 W Frontage Rd, Northfield, IL 60093-1204 | 2013-02-19 |
1720368392 | Seniorbridge Family Companies (il), Inc | In Home Supportive Care | 790 W Frontage Rd, Suite 202, Northfield, IL 60093-1204 | 2011-08-26 |
1235349416 | Dennis Paul Selvig | Psychologist | 790 W Frontage Rd, Northfield, IL 60093-1204 | 2007-05-23 |
1861602054 | Personnel Strategies, LLC | Psychologist | 790 W Frontage Rd, Northfield, IL 60093-1204 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
Find all providers in zip 60093 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093030132 | Primary Care Psychology Associates, LLC | Psychologist | 465 Central Ave, Suite 201, Northfield, IL 60093-3045 | 2010-04-01 |
1457570350 | Rosalie Price | Psychologist | 456 W Frontage Rd, Northfield, IL 60093-3034 | 2007-04-25 |
1114001690 | Victoria V Lavigne | Psychologist | 778 W Frontage Rd, Suite 123, Northfield, IL 60093-1209 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902441603 | Jasmine Dominique Jones | Psychologist | 19041 Willow Ave, Country Club Hills, IL 60478-5740 | 2019-11-18 |
1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
1891044038 | Irma Porcic Khelghati | Psychologist | 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 | 2012-09-04 |
Find all providers with the same taxonomy |
City | NORTHFIELD |
Zip Code | 60093 |
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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.