DR. TORY ANNE EISENLOHR-MOUL (NPI# 1447766209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447766209 |
Entity Type | Individual |
Full Name | DR. TORY ANNE EISENLOHR-MOUL |
Credential | PHD |
Practice Address |
912 S Wood St Chicago IL 60612-4300 |
Mailing Address |
2294 N Halsted Street Apt 301 Chicago IL 60657 |
Practice Telephone | 8593170503 |
Mailing Telephone | 8593170503 |
Enumeration Date | 2017-12-15 |
Last Update Date | 2017-12-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 071.009685 | IL | Behavioral Health & Social Service Providers |
Street Address |
912 S WOOD ST |
City | CHICAGO |
State | IL |
Zip Code | 60612-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689622029 | Teresa Lupa Sripada | Psychiatry & Neurology | 912 S Wood St, M/c 912, Chicago, IL 60612-4300 | 2006-05-05 |
1023624764 | Dilip K Pandey | Specialist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-09-18 |
1689287724 | Natania A Crane | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-08-28 |
1295375244 | Jennifer Week | Social Worker | 912 S Wood St, Chicago, IL 60612-4300 | 2020-01-07 |
1902367899 | Mathew Margolis | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-25 |
1982164869 | Jaclyn Sara Weisman | Psychologist | 912 S Wood St, Chicago, IL 60612 | 2019-03-25 |
1649730169 | Alexandra Moran Thomas | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-21 |
1932622420 | Sylvia Herbozo | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2017-07-17 |
1194253310 | Sushant Puri | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2017-06-01 |
1881122513 | Peter Theiss | Student in an Organized Health Care Education/Training Program | 912 S Wood St, 451n - Mc 799, Chicago, ID 60612 | 2017-05-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
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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.