WAYNE R GLAD (NPI# 1689656803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656803 |
| Entity Type | Individual |
| Full Name | WAYNE R GLAD |
| Credential | PHD |
| Practice Address |
900 N Westmoreland Rd Ste Ll70 Lake Forest IL 60045-1674 |
| Mailing Address |
900ww North Shore Dr 160 Lake Bluff IL 60044-2218 |
| Practice Telephone | 8472950340 |
| Practice Fax Number | 8472950351 |
| Mailing Telephone | 8472950340 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071002465 | IL | Behavioral Health & Social Service Providers |
| Street Address |
900 N WESTMORELAND RD STE LL70 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366437352 | Sheri Ross | Pediatrics | 900 N Westmoreland Rd, 106, Lake Forest, IL 60045-1674 | 2005-09-15 |
| 1063821916 | Northwestern Medical Faculty Foundation | Optometrist | 900 N Westmoreland Rd, Lower Level 88, Lake Forest, IL 60045-1674 | 2014-08-05 |
| 1982958013 | Pediatrust, L.L.C. | Pediatrics | 900 N Westmoreland Rd, Suite 217, Lake Forest, IL 60045-1674 | 2012-10-26 |
| 1891093019 | James E Jupa Md Sc | Internal Medicine | 900 N Westmoreland Rd, Suite 108, Lake Forest, IL 60045-1674 | 2011-03-11 |
| 1205083383 | Envision Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 900 N Westmoreland Rd, Suite Ll84, Lake Forest, IL 60045-1681 | 2008-08-20 |
| 1265695530 | Kelsey Grimmer | Physician Assistant | 900 N Westmoreland Rd, Ste 222, Lake Forest, IL 60045-1674 | 2008-07-08 |
| 1780856799 | Elizabeth Q Wang | Nurse Practitioner | 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 | 2008-03-31 |
| 1700060704 | Justin J. Cohen | Urology | 900 N Westmoreland Rd, Suite 228, Lake Forest, IL 60045-1674 | 2007-12-27 |
| 1710179759 | Karen J Mass | Obstetrics & Gynecology | 900 N Westmoreland Rd, Suite 223, Lake Forest, IL 60045-1674 | 2007-08-14 |
| 1417157835 | Rosamaria Slominski | Specialist | 900 N Westmoreland Rd, Basement, Lake Forest, IL 60045-1674 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| 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 |
|---|---|---|---|---|
| 1083100093 | Greg Klassen | Psychologist | 23792 Rockflield Boulevard, Suite 290, Lake Forest, CA 92630-2819 | 2018-07-03 |
| 1508388836 | Laird Patrick Bridgman | Psychologist | 22772 Centre Dr Ste 205, Lake Forest, CA 92630-6303 | 2017-07-07 |
| 1689083222 | Timothy J. Verna | Psychologist | 25535 Fallenwood, Lake Forest, CA 92630-6458 | 2014-08-07 |
| 1730473778 | Monte George Pries | Psychologist | 23736 Birtcher Dr, Lake Forest, CA 92630-1771 | 2011-06-07 |
| 1881796647 | Noemi Bancod-mcinnes | Psychologist | 22865 Lake Forest Dr # 116, Lake Forest, CA 92630-1605 | 2006-09-02 |
| 1417316670 | Anupama Harvey | Psychologist | 225 E Deerpath Ste 280, Lake Forest, IL 60045-1973 | 2016-02-16 |
| 1265692628 | Hassan J. Afshar | Psychologist | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2008-06-10 |
| 1396940441 | Kathryn Bailey | Psychologist | 22792 Centre Dr, Suite 290, Lake Forest, CA 92630-6304 | 2007-06-19 |
| 1245435270 | Orange County Association for Mental Health | Psychologist | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2007-06-19 |
| 1265589535 | Lola Coxford Brown | Psychologist | 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630-2805 | 2007-01-05 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.