DR. MARY SUSAN SAMS (NPI# 1962621672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962621672 |
| Entity Type | Individual |
| Full Name | DR. MARY SUSAN SAMS |
| Credential | PSY.D. |
| Practice Address |
708 Church St #212 Evanston IL 60201-3875 |
| Practice Telephone | 8472933385 |
| Mailing Telephone | 8472933385 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255890653 | Mary Sams | Social Worker | 18781 Jarbalo Rd, Leavenworth, KS 66048-7390 | 2019-03-15 |
| 1053443275 | Mary Sams | Internal Medicine | 875 Johnson Fy Rd Ne, Suite 200, Atlanta, GA 30342-1418 | 2007-03-12 |
| Street Address |
708 CHURCH ST #212 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295738 | Mary C Hagele | Psychologist | 708 Church St, Suite 251, Evanston, IL 60201-3875 | 2005-09-16 |
| 1043857691 | Sara E P Solheim | Social Worker | 708 Church St, Evanston, IL 60201-3875 | 2019-12-03 |
| 1104306240 | A New Leaf Natural Medicine LLC | Dietitian, Registered | 708 Church St, Evanston, IL 60201-3875 | 2018-08-17 |
| 1285171504 | Bonnie Lynn Brock | Dietitian, Registered | 708 Church St, Evanston, IL 60201 | 2017-01-24 |
| 1346603156 | Evanston Integrative Chiropractic Center | Chiropractor | 708 Church St, Ste. 228, Evanston, IL 60201-3875 | 2016-03-30 |
| 1386009009 | Ashley Allis LLC | Counselor | 708 Church St, Suite 221, Evanston, IL 60201-3875 | 2015-12-22 |
| 1720453160 | John Koh | Psychologist | 708 Church St, Suite 216, Evanston, IL 60201-3875 | 2015-12-10 |
| 1770951022 | Alison Rachel Toback | Counselor | 708 Church St, Suite #206, Evanston, IL 60201-3875 | 2015-09-03 |
| 1780050591 | Joseph Alger | Social Worker | 708 Church St, Suite 225, Evanston, IL 60201-3875 | 2015-08-16 |
| 1669871133 | Ashley Allis | Counselor | 708 Church St, Suite 221, Evanston, IL 60201-3875 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1720335102 | Robert Lawrence Finke | Psychologist | 909 Davis St, Ste. 160, Evanston, IL 60201-3683 | 2012-08-06 |
| 1316006877 | Rebecca I Nelson | Psychologist | 2650 Ridge Ave, Evanston Hosptial, Department of Pediatrics, Evanston, IL 60201-1718 | 2006-12-08 |
| 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 |
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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.