SUSAN FEDER SLOBARD (NPI# 1639230303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639230303 |
| Entity Type | Individual |
| Full Name | SUSAN FEDER SLOBARD |
| Other Name | DR. SUSAN FEDER |
| Credential | M.D. |
| Practice Address |
1021 N Mulford Rd Ste 1 Rockford IL 61107-3877 |
| Practice Telephone | 8153999700 |
| Practice Fax Number | 8153941401 |
| Mailing Telephone | 8153999700 |
| Mailing Fax Number | 8153941401 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME102673 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
1573581 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036068243 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME102673 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
1573581 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1021 N MULFORD RD STE 1 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-3877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797257 | Jordin Marie Kirk | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-10-16 |
| 1306464185 | Lisa Espig | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-07-08 |
| 1710502638 | Adam Sommerfeld | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-06-16 |
| 1073021192 | Glen Forneris | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2018-01-11 |
| 1710412143 | John Tumino | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-04-24 |
| 1992239370 | Thomas Kaltenecker | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-04-12 |
| 1215468293 | Lisa Wiersema | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-03-22 |
| 1851832570 | Lashonda Walker | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-03-14 |
| 1649710112 | Katherine Deckard-gonzales | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-03-03 |
| 1306384904 | Katera Smith | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652457 | Martha Crotts | Psychiatry & Neurology | 5758 Elaine Dr, Rockford, IL 61108-3102 | 2007-03-05 |
| 1033596176 | Bennett Harris | Psychiatry & Neurology | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2015-04-27 |
| 1215194519 | Mathers Clinic, LLC | Psychiatry & Neurology | 5804 Elaine Dr, Rockford, IL 61108-2435 | 2008-05-22 |
| 1891988010 | Evan Christopher Silvi | Psychiatry & Neurology | 1401 E State St, Rockford, IL 61104-2315 | 2007-08-21 |
| 1528195013 | Fareha N. Malik, M.d. LLC | Psychiatry & Neurology | 3865 N. Mulford Rd., Rockford, IL 61114-5603 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
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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.