DR. TARI N MACK


Address: 636 Church St, Suite 415, Evanston, IL 60201
Phone: 7733078148

DR. TARI N MACK (NPI# 1316197791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316197791
Entity Type Individual
Full Name DR. TARI N MACK
Credential PHD
Practice Address 636 Church St
Suite 415
Evanston
IL 60201
Practice Telephone 7733078148
Mailing Telephone 7733078148
Mailing Fax Number 7735082740
Enumeration Date 2008-09-23
Last Update Date 2015-05-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
071007514 IL Behavioral Health & Social Service Providers

Office Location

Street Address 636 CHURCH ST
SUITE 415
City EVANSTON
State IL
Zip Code 60201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538162870 Michael England Psychologist 636 Church St, Ste 508, Evanston, IL 60201-4508 2005-05-31
1275184012 Caitlyn Dawn Platzner Marriage & Family Therapist 636 Church St, Evanston, IL 60201-4508 2019-09-23
1699215632 Shruti Patel Counselor 636 Church St, 510, Evanston, IL 60201-4508 2017-02-23
1821545047 Mimi Landau, Inc Counselor 636 Church St, Suite 710, Evanston, IL 60201-4508 2016-09-06
1548614969 Leanna Schneider Social Worker 636 Church St, Suite 515, Evanston, IL 60201-4508 2016-04-21
1194185496 Graston-grotheer Counseling Inc Social Worker 636 Church St, Ste 419b, Evanston, IL 60201-4508 2016-02-29
1700243086 Dubois Counseling, PC Social Worker 636 Church St, Suite 615, Evanston, IL 60201-4508 2016-01-18
1649644071 Polina Reyngold, Ltd Counselor 636 Church St, Suite 515, Evanston, IL 60201-4508 2015-11-23
1912379553 Jessica Towsky Psychologist 636 Church St, Suite 515, Evanston, IL 60201-4508 2015-10-22
1932501632 Mayo Audiology, LLC Audiologist 636 Church St, 307, Evanston, IL 60201-4508 2014-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356962898 Sebastian Andres Cruz Internal Medicine Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2020-05-06
1053970442 Wade Gilman Family Medicine 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 2019-06-10
1922577949 Elizabeth Wilton Therapy, LLC Counselor 2901a Central St Ste 3, Evanston, IL 60201 2018-11-20
1952887812 Sg Wellness LLC Clinic/Center 3008 Central Street, Evanston, IL 60201 2018-07-13
1689169591 Michael Kert Zijlstra Internal Medicine Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 2018-06-25
1982199725 Elizabeth Hannah Lees Internal Medicine Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 2018-06-25
1730674565 Ashley Elizabeth Aller Internal Medicine Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2018-06-25
1669967683 Ayush N Shah Internal Medicine 2650 Ridge Ave Ste 5315, Evanston, IL 60201 2018-06-22
1811481062 Jeffrey D. Brow Internal Medicine 2650 Ridge Ave Rm 5315, Evanston, IL 60201 2018-06-20
1831687250 Michael Patrick Murphy Radiology 807 Davis St. Unit 707, Evanston, IL 60201 2018-05-01
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619271533 Tamara Antionette Johnson Psychologist 1936 Sheridan Rd, Multicultural Center, Northwestern University, Evanston, IL 60208-0849 2011-01-06
1053429647 Dawn M Collins Psychologist 1033 University Pl Ste 330, Evanston, IL 60201-3156 2006-08-25
1255344628 Robert James Hartke Psychologist 636 Church St, Ste 617, Evanston, IL 60201-4586 2006-08-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346849791 Matthew King Psychologist 2500 Galen Dr Ste 4, Champaign, IL 61821-7050 2020-10-17
1790392439 Julie Kopf Psychologist 1301 S Prospect Ave, Park Ridge, IL 60068-5344 2020-09-27
1568088771 Psychological Services Center Inc. Psychologist 3110 N Sheffield Ave, Chicago, IL 60657-6700 2020-06-23
1124652185 Soffiya A Siddiqui Psychologist 3124 Treesdale Ct, Naperville, IL 60564-4609 2020-02-28
1902437510 Philip James Cooke Psychologist 25 E Washington St Ste 1506, Chicago, IL 60602-1849 2020-02-01
1356971170 Greenpath Clinic Psychologist 2132 Deep Water Ln Ste 240, Naperville, IL 60564-8565 2020-01-21
1356971527 Nubia Janette Guzman Psychologist 137 N Oak Park Ave Ste 403, Oak Park, IL 60301-1344 2020-01-16
1750921078 Insights Therapeutic Services, LLC Psychologist 1820 Ridge Rd Ste 303r, Homewood, IL 60430-1759 2020-01-15
1316589542 Katherine Melissa Helm-lewis Psychologist Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 2019-10-09
1003375122 Alfredo Delgado Perez Sr. Psychologist 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 2019-03-18
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Competitor

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City EVANSTON
Zip Code 60201

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Dataset Information

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.

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