DR. MATTHEW WILLIAM WADLAND (NPI# 1154657377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154657377 |
Entity Type | Individual |
Full Name | DR. MATTHEW WILLIAM WADLAND |
Credential | PSYD |
Practice Address |
53 W Jackson Blvd Suite 602 Chicago IL 60604 |
Mailing Address |
4814 N Damen Ave 406 Chicago IL 60625-4191 |
Practice Telephone | 7738601931 |
Mailing Telephone | 7738601931 |
Enumeration Date | 2009-10-22 |
Last Update Date | 2009-10-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 071007634 | IL | Behavioral Health & Social Service Providers |
Street Address |
53 W JACKSON BLVD SUITE 602 |
City | CHICAGO |
State | IL |
Zip Code | 60604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366483703 | Sarita Bhakuni | Psychologist | 53 W Jackson Blvd, Suite 602, Chicago, IL 60604-3606 | 2006-06-09 |
1841823655 | Sharda Wright | Counselor | 53 W Jackson Blvd, Chicago, IL 60604-3606 | 2020-02-20 |
1417589367 | Kara Londergan | Marriage & Family Therapist | 53 W Jackson Blvd, Chicago, IL 60604-3606 | 2020-02-09 |
1982197588 | Tina Choi | Counselor | 53 W Jackson Blvd, Chicago, IL 60604-3606 | 2018-06-08 |
1487163788 | Sarah Levine-miles, LLC | Social Worker | 53 W Jackson Blvd, Chicago, IL 60604-3606 | 2017-09-29 |
1578096830 | Modern Mind Counseling, LLC | Counselor | 53 W Jackson Blvd, Suite 604, Chicago, IL 60604-3606 | 2017-04-04 |
1083155360 | Inner Sun Psychotherapy, LLC | Social Worker | 53 W Jackson Blvd, Suite 1625, Chicago, IL 60604-3606 | 2017-03-20 |
1881130748 | Dara Jeffers, LLC | Counselor | 53 W Jackson Blvd, Ste 604, Chicago, IL 60604-3606 | 2017-01-16 |
1497297543 | Emily Bhandari, Lcsw, LLC | Social Worker | 53 W Jackson Blvd, Suite 604, Chicago, IL 60604-3606 | 2016-11-07 |
1558815977 | Sean P. Patton PC | Counselor | 53 W Jackson Blvd, Suite 440, Chicago, IL 60604-3606 | 2016-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
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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] |
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1811532880 | Emily Wolodiger | Psychologist | 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 | 2019-11-13 |
1518500099 | Allow Wellness LLC | Psychologist | 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 | 2019-10-28 |
1619510914 | Keeshawna Brooks | Psychologist | 325 N Wells St Ofc 523, Chicago, IL 60654-7024 | 2019-10-20 |
1104468800 | Emotion-focused Therapy Chicago, LLC | Psychologist | 230 E Ohio St Ste 405, Chicago, IL 60611-5288 | 2019-10-14 |
1124660022 | Lynne Lieberman | Psychologist | 325 S Paulina St, Chicago, IL 60612-3206 | 2019-10-11 |
1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
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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.