DR. ANGELICA C FUENTES (NPI# 1073957791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073957791 |
| Entity Type | Individual |
| Full Name | DR. ANGELICA C FUENTES |
| Credential | PSYD. |
| Practice Address |
201 E Park St Suite B Mundelein IL 60060-1973 |
| Practice Telephone | 6307300864 |
| Practice Fax Number | 6306541195 |
| Mailing Telephone | 6307300864 |
| Mailing Fax Number | 6306541195 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071007521 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841694866 | Angelica Fuentes | Marriage & Family Therapist | 6711 Arlington Ave Ste B, Riverside, CA 92504-1966 | 2014-10-20 |
| 1497883912 | Angelica Vergara Fuentes | Social Worker | 3751 Stocker St, Los Angeles, CA 90008 | 2007-02-28 |
| Street Address |
201 E PARK ST SUITE B |
| City | MUNDELEIN |
| State | IL |
| Zip Code | 60060-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821030024 | Robert M Pasen Phd PC | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2006-06-12 |
| 1104238799 | Inverness Healthcare Associates Inc | Psychiatry & Neurology | 201 E Park St, Unit C, Mundelein, IL 60060-1973 | 2014-05-30 |
| 1255639571 | Laura Marie Hunt | Counselor | 201 E Park St, Mundelein, IL 60060-1973 | 2011-03-10 |
| 1083812077 | Natasha Bosch | Counselor | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-07-11 |
| 1679781710 | Bright Fellowes | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-05-21 |
| 1164545836 | Neurobehavioral Health Connections, Ltd | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-04-09 |
| 1265582993 | Jean Lee | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-01-12 |
| 1154489185 | Barbara First | Psychiatry & Neurology | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2006-12-04 |
| 1750319570 | Phyllis Mack Reynolds | Registered Nurse | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
| 1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
| 1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
| 1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
| 1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
| 1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
| 1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
| 1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
| 1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
| 1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
| Find all providers in zip 60060 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407486780 | Treva Bundy | Psychologist | 201 E Park St Ste B, Mundelein, IL 60060-1973 | 2020-01-25 |
| 1235775602 | Balanced Connections LLC | Psychologist | 450 N Seymour Ave, Mundelein, IL 60060-1835 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
| 1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1548873771 | Michael Wierman | Psychologist | 545 Newport Ct, Island Lake, IL 60042-9137 | 2020-08-27 |
| 1295348506 | Amaoli LLC | Psychologist | 164 Division St Ste 617, Elgin, IL 60120-5533 | 2020-08-26 |
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
| 1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
| 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.