UNICKA MARE GREEN (NPI# 1548886302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548886302 |
| Entity Type | Individual |
| Full Name | UNICKA MARE GREEN |
| Practice Address |
5651 S Perry Ave Chicago IL 60621-4019 |
| Mailing Address |
5744 S Ada St Chicago IL 60636-1832 |
| Practice Telephone | 4142368489 |
| Mailing Telephone | 7739603620 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
IL | Behavioral Health & Social Service Providers |
| Street Address |
5651 S PERRY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076398 | Ayesha Sconyers | Psychologist | 9204 S Ellis Ave, Chicago, IL 60619-7825 | 2020-06-06 |
| 1861032088 | Zora Angel Mahomes | Psychologist | 4056 W Jackson Blvd, Chicago, IL 60624-2756 | 2020-01-15 |
| 1639321169 | Eugenie Bournique Pabst | Psychologist | 1901 N Clybourn Ave, Suite 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1932734548 | Keys To Care Psychological Services, LLC | Psychologist | 325 N Wells St, Chicago, IL 60654-7024 | 2020-03-04 |
| 1649792078 | Mcclymonds Psychological Services | Psychologist | 55 E Monroe St Ste 3800, Chicago, IL 60603-6030 | 2017-07-07 |
| 1770982845 | Mercy Blesson | Psychologist | 5946 N Milwaukee Ave, Chicago, IL 60646-5424 | 2014-08-14 |
| 1063789220 | Integrative Psychological Healthcare Center | Psychologist | 3100 N Sheridan Rd, Apt. 9e, Chicago, IL 60657-4954 | 2011-11-16 |
| 1952553414 | Eugenie B. Pabst, LLC | Psychologist | 1901 N Clybourn Ave, 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1205008406 | Christine Gagnon | Psychologist | 1030 N Clark St, Chicago, IL 60610-5467 | 2008-03-27 |
| 1396916821 | Patricia Cole | Psychologist | 1030 N Clark St, Suite 320, Chicago, IL 60610-5467 | 2008-03-12 |
| Find all providers in CHICAGO | ||||
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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.