BETH FUNK, PSY.D, LLC (NPI# 1114325792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114325792 |
| Entity Type | Organization |
| Organization Name | BETH FUNK, PSY.D, LLC |
| Practice Address |
4709 Golf Rd Ste 1150 Skokie IL 60076-1231 |
| Practice Telephone | 7732342488 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | DR. BETH FUNK (MANAGER) |
| Authorized Official Telephone | 7732342488 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008241 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4709 GOLF RD STE 1150 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619785 | Harry M Goldin | Specialist | 4709 Golf Rd, 1000, Skokie, IL 60076-1231 | 2005-09-20 |
| 1902339369 | Abt Dental Associates LLC | Dentist | 4709 Golf Rd, Ste 1005, Skokie, IL 60076-1231 | 2017-04-04 |
| 1932642238 | Patrick Rice | Physician Assistant | 4709 Golf Rd, Skokie, IL 60076-1231 | 2016-11-18 |
| 1861862344 | Maximilian Reinke | Physical Therapist | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-09-28 |
| 1811371990 | Orthopaedics & Rheumatology of The North Shore | Clinic/Center | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-07-17 |
| 1952793739 | Retina Care, LLC | Ophthalmology | 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2015-03-03 |
| 1548667165 | Orthopaedics of The North Shore | Internal Medicine | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2014-11-25 |
| 1841600020 | Ashley Drew Kauffman | Dentist | 4709 Golf Rd, Suite 1005, Skokie, IL 60076-1231 | 2014-04-28 |
| 1245669076 | Carolyn A. Barsano, Psy. D. LLC | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2013-11-02 |
| 1164788824 | Beth Funk | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258808 | Cleminson Psychological Services, LLC | Psychologist | 9933 Lawler Ave Ste 324, Skokie, IL 60077-3730 | 2020-03-03 |
| 1427575380 | Heather Stephenson | Psychologist | 9501 Lawler Ave, Skokie, IL 60077-1274 | 2017-08-23 |
| 1376071886 | Marla Debra Miller | Psychologist | 4040 Enfield Ave, Skokie, IL 60076-1934 | 2017-05-28 |
| 1790152635 | Jessica Ellen Dubnow | Psychologist | 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 | 2015-08-26 |
| 1770830275 | David N. Gershan | Psychologist | 8053 Kolmar Ave, Skokie, IL 60076-3114 | 2012-08-14 |
| 1326326778 | Patricia S Cochran | Psychologist | 8707 Skokie Blvd Ste 310, Skokie, IL 60077-2281 | 2011-08-02 |
| 1962719013 | Paul Thomas Riel | Psychologist | 8540 Leclaire St, Skokie, IL 60077-2135 | 2010-09-10 |
| 1750569224 | Mary Frances Schneider | Psychologist | 5323 Galitz St, Skokie, IL 60077-2712 | 2008-02-06 |
| 1598944530 | Laura S. Trakhtman | Psychologist | 8936 Niles Center Rd # D, Skokie, IL 60076-1847 | 2007-10-26 |
| 1780885772 | Nydia Lelia Welles | Psychologist | 4019 Church St, Skokie, IL 60076-1773 | 2007-05-29 |
| Find all providers in SKOKIE | ||||
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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.