DR. MARCIA R. ZUMBAHLEN (NPI# 1528266673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528266673 |
| Entity Type | Individual |
| Full Name | DR. MARCIA R. ZUMBAHLEN |
| Credential | PH.D., IMHC |
| Practice Address |
130 Main St Apt 2 Evanston IL 60202-5425 |
| Practice Telephone | 7736698378 |
| Practice Fax Number | 8889772162 |
| Mailing Telephone | 7736698378 |
| Mailing Fax Number | 8889772162 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 082604 | IA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 071009422 | IL | Behavioral Health & Social Service Providers |
| Street Address |
130 MAIN ST APT 2 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1770560849 | Eliezer Tzvi Margolis | Clinical Neuropsychologist | 621 Madison St, Suite C, Evanston, IL 60202-2203 | 2005-12-29 |
| 1992137673 | Elizabeth Heideman | Clinical Neuropsychologist | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2013-08-05 |
| 1972860302 | Leslie Guidotti Breting | Clinical Neuropsychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2012-04-23 |
| 1376812792 | Julie B Eisengart | Clinical Neuropsychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2011-12-14 |
| 1932484136 | Aileen M Hartzell | Clinical Neuropsychologist | 1601 Sherman Ave, Ste 201, Evanston, IL 60201-5038 | 2011-10-19 |
| 1922236595 | Elizabeth Katharine Geary | Clinical Neuropsychologist | 909 Davis St, Ste 160, Evanston, IL 60201-3683 | 2009-06-23 |
| 1336294024 | Mark A Moulthrop | Clinical Neuropsychologist | 636 Church St, Suite 407, Evanston, IL 60201-4508 | 2007-01-24 |
| 1518033869 | Jerry J Sweet | Clinical Neuropsychologist | 909 Davis St Ste 160, Evanston, IL 60201 | 2006-11-28 |
| 1427146620 | Anne P Maxwell | Clinical Neuropsychologist | 2650 Ridge Ave, 315 Burch Hall, Evanston, IL 60201-1718 | 2006-10-11 |
| Find all providers in EVANSTON | ||||
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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.