ROBERT A WILTZ (NPI# 1568403236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568403236 |
| Entity Type | Individual |
| Full Name | ROBERT A WILTZ |
| Credential | PH.D |
| Practice Address |
1401 Lakewood Dr Suite A Morris IL 60450-3352 |
| Practice Telephone | 8159426323 |
| Practice Fax Number | 8159426423 |
| Mailing Telephone | 8159426323 |
| Mailing Fax Number | 8159426423 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071001790 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1401 LAKEWOOD DR SUITE A |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295781839 | Mary T. Cherian | Psychiatry & Neurology | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2006-05-25 |
| 1558915546 | Robin Calhoun-palermo | Counselor | 1401 Lakewood Dr, Morris, IL 60450-3352 | 2019-07-28 |
| 1386018885 | Affiliated Dialysis of Joliet LLC | Clinic/Center | 1401 Lakewood Dr, Morris, IL 60450-3352 | 2015-11-20 |
| 1801280052 | Maria Carolina Rubio Moore | Social Worker | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2015-03-25 |
| 1952793523 | Nicolette Rose Mireles | Counselor | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2015-02-19 |
| 1215365036 | Joyce Azzaline | Clinical Nurse Specialist | 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 | 2013-10-15 |
| 1922435973 | Syed Amad Amanullah | Psychiatry & Neurology | 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 | 2013-10-06 |
| 1689921595 | Marie Debartolo | Nurse Practitioner | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2012-08-09 |
| 1457615361 | Nancy Schultz Monroe | Nurse Practitioner | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2012-06-26 |
| 1841586658 | Vna Health Care | Clinic/Center | 1401 Lakewood Dr, Unit 3, Morris, IL 60450-3352 | 2011-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
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| 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 |
|---|---|---|---|---|
| 1710140678 | Craig Steven Laasch | Psychologist | 1802 N Division St, Suite 604, Morris, IL 60450-1182 | 2008-07-09 |
| 1386822062 | June Meyerhoff | Psychologist | 400 E 1st St, Morris, MN 56267-1408 | 2008-02-05 |
| 1578626362 | Evy Rodne-cole | Psychologist | 202 E 7th St, Morris, MN 56267-1220 | 2006-12-19 |
| 1043312481 | Michael Backman | Psychologist | 400 East First Street, Morris, MN 56267-0660 | 2006-09-05 |
| 1174543482 | Jeanne Decker | Psychologist | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2006-07-20 |
| 1225084635 | Kimberly Gelbort | Psychologist | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
| 1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1548873771 | Michael Wierman | Psychologist | 545 Newport Ct, Island Lake, IL 60042-9137 | 2020-08-27 |
| 1295348506 | Amaoli LLC | Psychologist | 164 Division St Ste 617, Elgin, IL 60120-5533 | 2020-08-26 |
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
| 1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
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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.