DR. MARK J JOHNS (NPI# 1437120680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437120680 |
| Entity Type | Individual |
| Full Name | DR. MARK J JOHNS |
| Credential | PSY.D. |
| Practice Address |
3139 N Lincoln Ave Ste. 204 Chicago IL 60657-3114 |
| Mailing Address |
Po Box 190 Evanston IL 60204-0190 |
| Practice Telephone | 7735644172 |
| Practice Fax Number | 7735644175 |
| Mailing Telephone | 7735028252 |
| Mailing Fax Number | 7735644175 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2009-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 180-001399 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350579 | Mark E Johns | Internal Medicine | 13572 Waterford Place, Midlothian, VA 23112 | 2005-10-21 |
| 1407040884 | Mark E Johns | Internal Medicine | 8000 5 Mile Rd, Ste 100, Cincinnati, OH 45230-2187 | 2007-08-29 |
| Street Address |
3139 N LINCOLN AVE STE. 204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289533 | Total Balance Chiropractic, P.C. | Chiropractor | 3139 N Lincoln Ave, Suite 209, Chicago, IL 60657-3114 | 2006-01-11 |
| 1982122412 | Rebecca Dauber | Social Worker | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2017-09-05 |
| 1285182121 | Diane M Herbstman Welbel Psyd LLC | Psychologist | 3139 N Lincoln Ave, Suite 203, Chicago, IL 60657-3114 | 2016-09-20 |
| 1417310806 | Tara Parker | Counselor | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2016-04-01 |
| 1689030603 | Kathleen R. Brennan, Inc. | Counselor | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2016-01-06 |
| 1750753158 | Annie Felice, Lcpc, PC | Clinic/Center | 3139 N Lincoln Ave, Suite 210, Chicago, IL 60657-3114 | 2015-10-24 |
| 1598133753 | Whitney Logan | Counselor | 3139 N Lincoln Ave, Suite 207, Chicago, IL 60657-3114 | 2015-09-04 |
| 1215317508 | Dr. David Rakofsky PC | Social Worker | 3139 N Lincoln Ave, Suite 211, Chicago, IL 60657-3114 | 2015-06-02 |
| 1225415623 | Jacqueline Taub | Counselor | 3139 N Lincoln Ave, #209, Chicago, IL 60657-3114 | 2015-05-05 |
| 1487047106 | Nicole Elman | Social Worker | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2015-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
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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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1235750860 | Dia Anjali Mason | Psychologist | 1234 N Kedzie Ave, Chicago, IL 60651-2408 | 2020-05-05 |
| 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.