MRS. KIM LYNN SEGVICH (NPI# 1487915617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487915617 |
| Entity Type | Individual |
| Full Name | MRS. KIM LYNN SEGVICH |
| Practice Address |
1221 Green St New Lenox IL 60451-1017 |
| Mailing Address |
Po Box 1549 Calumet City IL 60409-7549 |
| Practice Telephone | 8154620191 |
| Mailing Telephone | 7082515222 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
1221 GREEN ST |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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|---|---|---|---|---|
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| 1427661685 | Peace of Mind Psychological Services Inc | Psychologist | 738 E Dundee Rd # 267, Palatine, IL 60074-2858 | 2020-08-27 |
| 1558974873 | Kelly Hamoudah | Psychologist | 945 W George St Ste 210, Chicago, IL 60657-5876 | 2020-08-26 |
| 1407479447 | Richard J Landau | Psychologist | 913 W Van Buren St Apt 5c, Chicago, IL 60607-3528 | 2020-05-26 |
| 1699394890 | Peter Platten | Psychologist | 4444 N Campbell Ave Apt 1s, Chicago, IL 60625-3076 | 2020-04-09 |
| 1750917571 | Anxiety Clinic of Evanston, LLC | Psychologist | 4604 W Patterson Ave, Chicago, IL 60641-3609 | 2020-03-13 |
| 1851923759 | Professional Family Solutions | Psychologist | 501 N Riverside Dr Ste 207, Gurnee, IL 60031-5918 | 2020-02-07 |
| 1841830338 | Modern Me Psychology, Inc. | Psychologist | 390 E Devon Ave Ste 201, Roselle, IL 60172-1763 | 2020-01-13 |
| 1326682501 | June Care LLC | Psychologist | 185 S Pleasant Rd, Lake Zurich, IL 60047-2240 | 2019-10-31 |
| 1063067866 | Shore Therapy Center for Wellness, LLC | Psychologist | 3330 Old Glenview Rd Ste 16, Wilmette, IL 60091-2963 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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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.