MRS. DIANE BUBECK (NPI# 1558540328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558540328 |
Entity Type | Individual |
Full Name | MRS. DIANE BUBECK |
Credential | LMFT, RD, LDN, CLT |
Practice Address |
3528 Becket Ln Naperville IL 60564-4141 |
Practice Telephone | 6303695645 |
Practice Fax Number | 6303695651 |
Mailing Telephone | 6303695645 |
Mailing Fax Number | 6303695651 |
Enumeration Date | 2007-10-30 |
Last Update Date | 2017-02-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 166.000604 | IL | Behavioral Health & Social Service Providers |
N | 133V00000X | Dietitian, Registered | 1640011456 | IL | Dietary & Nutritional Service Providers |
Street Address |
3528 BECKET LN |
City | NAPERVILLE |
State | IL |
Zip Code | 60564-4141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609322791 | Diane Bubeck Ltd | Dietitian, Registered | 3528 Becket Ln, Naperville, IL 60564-4141 | 2016-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
Find all providers in zip 60564 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093137945 | Timothy Olin Sutherland | Marriage & Family Therapist | 1509 Estuary Ct, Naperville, IL 60565-1292 | 2014-01-13 |
1689903700 | Lisa Pisha | Marriage & Family Therapist | 120 S Webster St, Suite 203, Naperville, IL 60540-4479 | 2009-12-19 |
1588789994 | Conventions Psychiatry & Counseling | Marriage & Family Therapist | 4s 100 Route 59, Unit 6, Naperville, IL 60563 | 2007-03-21 |
1154472728 | Penny Brucker | Marriage & Family Therapist | 24024 West Brancaster Drive, Naperville, IL 60564 | 2007-01-12 |
1508922147 | Thomas A Mahan | Marriage & Family Therapist | 124 S Webster St, Suite 202, Naperville, IL 60540-5390 | 2006-12-28 |
1518020262 | Cristi Anne Belmonte | Marriage & Family Therapist | 520 E Ogden Ave Ste 4, Naperville, IL 60563-3255 | 2006-12-17 |
1235292988 | Heather Helen Ducato | Marriage & Family Therapist | 1324 E Ogden Ave Ste 106, Naperville, IL 60563-2347 | 2006-12-17 |
1508477035 | Catherine Schumacher | Marriage & Family Therapist | 121 N Washington St, Naperville, IL 60540-4558 | 2020-08-10 |
1972113793 | Kelli Kohlstedt | Marriage & Family Therapist | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-08-06 |
1275047250 | Jodi Metcalf | Marriage & Family Therapist | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2017-11-28 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60564 |
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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.