DR. JEANNIE M. GUTIERREZ (NPI# 1558468025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558468025 |
| Entity Type | Individual |
| Full Name | DR. JEANNIE M. GUTIERREZ |
| Credential | PH.D. |
| Practice Address |
1604 Chicago Ave #5 Evanston IL 60201 |
| Mailing Address |
1604 Chicago Ave #5 Evanston ID 60201 |
| Practice Telephone | 8476879055 |
| Mailing Telephone | 8476879055 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | IL | Behavioral Health & Social Service Providers | |
| X | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers | |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers | |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
IL | Behavioral Health & Social Service Providers | |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| Street Address |
1604 CHICAGO AVE #5 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801803564 | Marlene Ruth Eisen | Psychologist | 1604 Chicago Ave, Suite #3, Evanston, IL 60201-1411 | 2006-08-02 |
| 1427403393 | Beatrice Finkelstein, Rn, Psy.d. | Psychologist | 1604 Chicago Ave, Suite 5, Evanston, IL 60201-6017 | 2016-04-28 |
| 1891920757 | Blount Psychology Incorporated | Psychologist | 1604 Chicago Ave, Ste.10, Evanston, IL 60201-6017 | 2009-05-21 |
| 1548405681 | Linda Jean Goranson | Counselor | 1604 Chicago Ave, Ste 12, Evanston, IL 60201-6017 | 2008-12-03 |
| 1730377961 | Melissa Ruth Blount | Psychologist | 1604 Chicago Ave, Ste.10, Evanston, IL 60201-6017 | 2007-10-12 |
| 1578763595 | Curtis Kearney | Counselor | 1604 Chicago Ave, Suite 1, Evanston, IL 60201-6017 | 2007-07-18 |
| 1730206228 | Monique Christine Ryan | Dietitian, Registered | 1604 Chicago Ave, Suite 10, Evanston, IL 60201-6017 | 2007-03-22 |
| 1083761795 | Carol Mccardell, Lcsw, Ltd | Community/Behavioral Health | 1604 Chicago Ave, Suite 2, Evanston, IL 60201-6017 | 2007-01-04 |
| 1154484483 | Carol Mccardell | Social Worker | 1604 Chicago Ave, Suite 2, Evanston, IL 60201-6017 | 2006-12-18 |
| 1821180696 | John Kenneth Favale | Dentist | 1604 Chicago Ave, Evanston, IL 60201-6017 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
| 1528266673 | Marcia R. Zumbahlen | Clinical Neuropsychologist | 130 Main St, Apt 2, Evanston, IL 60202-5425 | 2007-07-10 |
| 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 |
| 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.