CARYN FELDMAN (NPI# 1043480577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043480577 |
| Entity Type | Individual |
| Full Name | CARYN FELDMAN |
| Credential | PHD |
| Practice Address |
1030 N Clark St Suite 320 Chicago IL 60610-5467 |
| Mailing Address |
345 E Superior St Chicago IL 60611-2654 |
| Practice Telephone | 3122387800 |
| Practice Fax Number | 3122387801 |
| Mailing Telephone | 3122381000 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
071-005600 | IL | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
071-005600 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | P00089650 | 01 |
| Street Address |
1030 N CLARK ST SUITE 320 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259759 | Kimberly A. Koval | Pediatrics | 1030 N Clark St, Suite 400, Chicago, IL 60610-5467 | 2005-07-19 |
| 1922667278 | Casey Gray | Physical Therapist | 1030 N Clark St, Suite #610, 6th Floor, Chicago, IL 60610 | 2019-06-11 |
| 1457887648 | Jennifer L. Fockler, L.ac. LLC | Clinic/Center | 1030 N Clark St, Suite 610, Chicago, IL 60610-5467 | 2017-05-07 |
| 1215306394 | Andrea Lieberman, Psy.d., LLC | Psychologist | 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 | 2015-09-18 |
| 1790161305 | Nneka E. Onyezia Phd, LLC | Psychologist | 1030 N Clark St, Suite 300, Chicago, IL 60610-5467 | 2015-08-05 |
| 1487036992 | Jennifer Louise Fockler | Acupuncturist | 1030 N Clark St, #610, Chicago, IL 60610-5467 | 2015-06-19 |
| 1265812002 | Christopher Balmaceda | Social Worker | 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 | 2015-06-07 |
| 1033502570 | Jeremiah Yoo | Physical Therapist | 1030 N Clark St, #500, Chicago, IL 60610-5467 | 2015-03-09 |
| 1750702890 | Inner Life Psychological Services | Psychologist | 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 | 2013-12-16 |
| 1750646469 | Colleen Marian Napleton | Counselor | 1030 N Clark St, Suite 303, Chicago, IL 60610-5467 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886302 | Unicka Mare Green | Psychologist | 5651 S Perry Ave, Chicago, IL 60621-4019 | 2020-06-17 |
| 1467076398 | Ayesha Sconyers | Psychologist | 9204 S Ellis Ave, Chicago, IL 60619-7825 | 2020-06-06 |
| 1861032088 | Zora Angel Mahomes | Psychologist | 4056 W Jackson Blvd, Chicago, IL 60624-2756 | 2020-01-15 |
| 1639321169 | Eugenie Bournique Pabst | Psychologist | 1901 N Clybourn Ave, Suite 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1932734548 | Keys To Care Psychological Services, LLC | Psychologist | 325 N Wells St, Chicago, IL 60654-7024 | 2020-03-04 |
| 1649792078 | Mcclymonds Psychological Services | Psychologist | 55 E Monroe St Ste 3800, Chicago, IL 60603-6030 | 2017-07-07 |
| 1770982845 | Mercy Blesson | Psychologist | 5946 N Milwaukee Ave, Chicago, IL 60646-5424 | 2014-08-14 |
| 1063789220 | Integrative Psychological Healthcare Center | Psychologist | 3100 N Sheridan Rd, Apt. 9e, Chicago, IL 60657-4954 | 2011-11-16 |
| 1952553414 | Eugenie B. Pabst, LLC | Psychologist | 1901 N Clybourn Ave, 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1205008406 | Christine Gagnon | Psychologist | 1030 N Clark St, Chicago, IL 60610-5467 | 2008-03-27 |
| Find all providers in CHICAGO | ||||
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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.