ANDREA LIEBERMAN, PSY.D., LLC (NPI# 1215306394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215306394 |
| Entity Type | Organization |
| Organization Name | ANDREA LIEBERMAN, PSY.D., LLC |
| Practice Address |
1030 N Clark St Suite 303 Chicago IL 60610-5467 |
| Practice Telephone | 3127725313 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | DR. ANDREA LIEBERMAN (OWNER, PSYCHOLOGIST) |
| Authorized Official Telephone | 3127725313 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008786 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1030 N CLARK ST SUITE 303 |
| 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 |
| 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 |
| 1508161001 | 1-on-1 Md, LLC | Clinic/Center | 1030 N Clark St, Suite 310, Chicago, IL 60610-5467 | 2011-01-14 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| 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.