DR. JENNIFER RAFACZ (NPI# 1558792762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558792762 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER RAFACZ |
| Credential | PHD |
| Practice Address |
777 Park Ave W Highland Park IL 60035-2433 |
| Practice Telephone | 8474328000 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071008736 | IL | Behavioral Health & Social Service Providers |
| Street Address |
777 PARK AVE W |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609817220 | Northshore University Healthsystem | General Acute Care Hospital | 777 Park Ave W, Highland Park, IL 60035-2433 | 2006-06-08 |
| 1891325486 | Erin Kathryn Kieny | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-22 |
| 1982243036 | Jennifer Carolyn Peterson | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-06 |
| 1386288660 | Erika Tone | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-10-30 |
| 1811543937 | Lauren Rose Boivin | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-08-14 |
| 1255831426 | Andrea Fonacier | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2018-02-14 |
| 1518470657 | Jacqueline Yen Lam | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-11-12 |
| 1578088852 | Jessica Marie Zinnen | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-08-08 |
| 1699205724 | Claire Emery Hailey | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-06-12 |
| 1164959342 | Karyn Michelle Gerstle | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205151 | Thomas Kaufman | Psychologist | 584 Cherokee Rd, Highland Park, IL 60035-5258 | 2017-06-26 |
| 1023427887 | Catherine Marcell | Psychologist | 348 Park Ave, Highland Park, IL 60035-2627 | 2014-08-06 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1457552762 | Michael D Kovar | Psychologist | 1078 Hillcrest Ave, Highland Park, IL 60035 | 2007-05-31 |
| 1912024860 | Linda Ann Earley | Psychologist | 134 Raritan Ave, Highland Park, NJ 08904-2402 | 2007-03-24 |
| 1982738886 | Peter Dennis Richman | Psychologist | 336 N 4th Ave, Highland Park, NJ 08904-2742 | 2007-03-15 |
| 1245377969 | Randee Johnson | Psychologist | 900 Dean Ave, Highland Park, IL 60035-4720 | 2007-01-31 |
| 1467502609 | Barbara H. Chabner | Psychologist | 8 N 2nd Ave, Highland Park, NJ 08904-2419 | 2007-01-11 |
| 1518045889 | Tania Mara Miller | Psychologist | 9 N 2nd Ave, Highland Park, NJ 08904-2418 | 2006-11-02 |
| 1225123284 | Linda Sizemore | Psychologist | 3360 Brook Rd, Highland Park, IL 60035-1208 | 2006-10-04 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.