DR. PAULA T DICANIO (NPI# 1952524019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952524019 |
Entity Type | Individual |
Full Name | DR. PAULA T DICANIO |
Credential | PHD. |
Practice Address |
2213 Lakeside Dr Bannockburn IL 60015-1265 |
Practice Telephone | 8476049441 |
Practice Fax Number | 8476049445 |
Mailing Telephone | 8476049441 |
Mailing Fax Number | 8476049445 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
Street Address |
2213 LAKESIDE DR |
City | BANNOCKBURN |
State | IL |
Zip Code | 60015-1265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336250869 | Robin P Eisenberg | Social Worker | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2006-08-31 |
1871147090 | Parisa Azhdarianfard | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2019-07-25 |
1568956696 | Ammirati Counseling | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2018-06-21 |
1487872735 | Linda L. Hines, Ph.d., PC | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-23 |
1154549764 | Sharon Judith Strauss | Psychologist | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-22 |
1497876155 | Karen Marie Holub | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-02 |
1215051842 | Linda Hines | Psychologist | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-03-19 |
1073604138 | Brad K. Greenspan | Psychiatry & Neurology | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
Find all providers in zip 60015 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790916658 | Paul Edward Nevin | Psychologist | 2201 Waukegan Rd Ste 145, Bannockburn, IL 60015-1577 | 2009-07-27 |
1568515252 | Laura Aline Harwood | Psychologist | 2275 Half Day Rd Ste 145, Bannockburn, IL 60015-1221 | 2007-01-18 |
1790954998 | Perlman Davis and Associates In Psychology | Psychologist | 2275 Half Day Rd, Suite 145, Bannockburn, IL 60015-1217 | 2008-02-21 |
1043370034 | Barbara N Perlman | Psychologist | 2275 Half Day Rd, Suite 145, Bannockburn, IL 60015-1221 | 2006-12-11 |
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 |
1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
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 |
1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
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 |
1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
Find all providers with the same taxonomy |
City | BANNOCKBURN |
Zip Code | 60015 |
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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.