DR JOSEPH WALLACH PHD LLC


Address: 2530 Crawford Ave, Suite 304, Evanston, IL 60201-4970
Phone: 7738522400

DR JOSEPH WALLACH PHD LLC (NPI# 1336415611) 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) 1336415611
Entity Type Organization
Organization Name DR JOSEPH WALLACH PHD LLC
Practice Address 2530 Crawford Ave
Suite 304
Evanston
IL 60201-4970
Mailing Address 2741 W Greenleaf Ave
Chicago
IL 60645-3013
Practice Telephone 7738522400
Practice Fax Number 8478698116
Mailing Telephone 7738522400
Mailing Fax Number 8478698116
Enumeration Date 2012-03-30
Last Update Date 2012-03-30
Authorized Official Name DR. JOSEPH WALLACH (LICENSED CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 7738522400
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
071007942 IL Behavioral Health & Social Service Providers
N 103TH0004X Psychologist
Specialization: Health
071007942 IL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071007942 IL Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861758583 Dr Joseph Wallach Phd LLC Psychologist 4753 N Broadway St, Suite 608, Chicago, IL 60640-5266 2012-04-06

Office Location

Street Address 2530 CRAWFORD AVE
SUITE 304
City EVANSTON
State IL
Zip Code 60201-4970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982698833 Jon-paul Champine Psychologist 2530 Crawford Ave, Suite 315, Evanston, IL 60201-4970 2005-09-07
1760900625 T & L Psychotherapy Group Ltd Social Worker 2530 Crawford Ave, Evanston, IL 60201-4970 2017-08-31
1407390016 Jennifer Wolff Marriage & Family Therapist 2530 Crawford Ave, #304, Evanston, IL 60201-4970 2016-12-15
1871040121 Rebecca Kieffer, Lcsw LLC Social Worker 2530 Crawford Ave, 311, Evanston, IL 60201-4970 2016-09-03
1861856478 Janice Liten Counselor 2530 Crawford Ave, Suite 201, Evanston, IL 60201-4970 2016-04-09
1093115024 Kallmann Counseling and Consulting, P.C. Counselor 2530 Crawford Ave, Suite 208, Evanston, IL 60201-4970 2014-08-27
1972934271 Kallmann Counseling & Consulting PC Counselor 2530 Crawford Ave, Suite 208, Evanston, IL 60201-4970 2013-12-11
1144665118 Wendy B. Dolin, Lcsw, LLC Social Worker 2530 Crawford Ave, Suite 219, Evanston, IL 60201-4970 2013-05-06
1528306545 Beth M Levine Lcsw LLC Social Worker 2530 Crawford Ave, Suite 219, Evanston, IL 60201-4970 2013-01-25
1013292226 James Edward Ritter Counselor 2530 Crawford Ave, Suite 304, Evanston, IL 60201-4970 2011-10-19
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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 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007049 Heloisa Garman Psychologist 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 2020-09-14
1992346233 Kiran Ramesh Mirchandani Psychologist 1740 Ridge Ave Ste 22, Evanston, IL 60201-5918 2019-10-07
1982181533 Melissa Perrin Psychologist 2530 Crawford Ave Ste 203, Evanston, IL 60201-4959 2018-07-26
1689165250 Mona Sue Weissmark Psychologist 737 Clinton Pl, Evanston, IL 60201-1765 2018-05-19
1063920957 Tamara Miriam Claman Psychologist 1718 Sherman Ave Ste 210, Evanston, IL 60201-5610 2018-01-13
1619480720 Kaelin Emery Psychologist 820 Davis St Ste 455, Evanston, IL 60201-4447 2017-11-10
1861905051 Dr. Tari Mack, Inc. Psychologist 636 Church St Ste 415, Evanston, IL 60201-4580 2017-11-09
1639535396 Alissa Levy Chung, Ph.d., Inc. Psychologist 704 South Blvd, Evanston, IL 60202-2908 2016-01-12
1114359213 Dr Savage Psychological Services PC Psychologist 2550 Crawford Ave Ste 12, Evanston, IL 60201-4987 2013-07-31
1710320080 Marni B Rosen Psychologist 2130 Green Bay Rd, Evanston, IL 60201-3026 2013-04-16
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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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