DR. EUGENIE BOURNIQUE PABST (NPI# 1639321169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639321169 |
| Entity Type | Individual |
| Full Name | DR. EUGENIE BOURNIQUE PABST |
| Credential | PSY.D. |
| Practice Address |
1901 N Clybourn Ave Suite 301 Chicago IL 60614-5090 |
| Practice Telephone | 3124720560 |
| Mailing Telephone | 3124720560 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| Street Address |
1901 N CLYBOURN AVE SUITE 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885721 | Michael Kane | Physical Therapy Assistant | 1901 N Clybourn Ave, Chicago, IL 60614-5090 | 2017-11-27 |
| 1154692739 | Melissa Farran | Acupuncturist | 1901 N Clybourn Ave, Suite 301, Chicago, IL 60614-5090 | 2012-01-13 |
| 1063657203 | Tanuja Devi Jagernauth | Acupuncturist | 1901 N Clybourn Ave, Suite #304, Chicago, IL 60614-5090 | 2008-12-02 |
| 1952553414 | Eugenie B. Pabst, LLC | Psychologist | 1901 N Clybourn Ave, 301, Chicago, IL 60614-5090 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886302 | Unicka Mare Green | Psychologist | 5651 S Perry Ave, Chicago, IL 60621-4019 | 2020-06-17 |
| 1467076398 | Ayesha Sconyers | Psychologist | 9204 S Ellis Ave, Chicago, IL 60619-7825 | 2020-06-06 |
| 1861032088 | Zora Angel Mahomes | Psychologist | 4056 W Jackson Blvd, Chicago, IL 60624-2756 | 2020-01-15 |
| 1932734548 | Keys To Care Psychological Services, LLC | Psychologist | 325 N Wells St, Chicago, IL 60654-7024 | 2020-03-04 |
| 1649792078 | Mcclymonds Psychological Services | Psychologist | 55 E Monroe St Ste 3800, Chicago, IL 60603-6030 | 2017-07-07 |
| 1770982845 | Mercy Blesson | Psychologist | 5946 N Milwaukee Ave, Chicago, IL 60646-5424 | 2014-08-14 |
| 1063789220 | Integrative Psychological Healthcare Center | Psychologist | 3100 N Sheridan Rd, Apt. 9e, Chicago, IL 60657-4954 | 2011-11-16 |
| 1952553414 | Eugenie B. Pabst, LLC | Psychologist | 1901 N Clybourn Ave, 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1205008406 | Christine Gagnon | Psychologist | 1030 N Clark St, Chicago, IL 60610-5467 | 2008-03-27 |
| 1396916821 | Patricia Cole | Psychologist | 1030 N Clark St, Suite 320, Chicago, IL 60610-5467 | 2008-03-12 |
| Find all providers in CHICAGO | ||||
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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.