ASSOCIATES IN ADOLESCENT PSYCHIATRY SC (NPI# 1811178163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811178163 |
Entity Type | Organization |
Organization Name | ASSOCIATES IN ADOLESCENT PSYCHIATRY SC |
Practice Address |
530 Lincoln Ave Glencoe IL 60022-1420 |
Practice Telephone | 6302908461 |
Practice Fax Number | 8478350863 |
Mailing Telephone | 6302908461 |
Mailing Fax Number | 8478350863 |
Enumeration Date | 2007-11-15 |
Last Update Date | 2007-11-15 |
Authorized Official Name | DR. MARVIN J SCHWARZ (PRESIDENT) |
Authorized Official Telephone | 6302908461 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
IL | Behavioral Health & Social Service Providers |
Street Address |
530 LINCOLN AVE |
City | GLENCOE |
State | IL |
Zip Code | 60022-1420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
Find all providers in zip 60022 |
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 |
---|---|---|---|---|
1760634752 | Genevieve Conkey | Psychologist | 899 Skokie Boulevard, #204, Glencoe, IL 60022-4022 | 2008-10-21 |
1992026082 | Christine A Schmidt | Psychologist | 630 Vernon Ave, Suite G, Glencoe, IL 60022-1681 | 2010-06-12 |
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 |
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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.