OKOON PSYCHOLOGY GROUP PC (NPI# 1700251519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700251519 |
| Entity Type | Organization |
| Organization Name | OKOON PSYCHOLOGY GROUP PC |
| Practice Address |
3633 W. Lake Avenue Suite 406 Evanston IL 60026 |
| Practice Telephone | 8477295510 |
| Practice Fax Number | 8477295512 |
| Mailing Telephone | 8477295510 |
| Mailing Fax Number | 8477295512 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | JEFFREY O'KOON (DIRECTOR) |
| Authorized Official Telephone | 8477295510 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071006294 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3633 W. LAKE AVENUE SUITE 406 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| 1154743078 | Renee Jaegers | Counselor | 3080 West Lake Avenue, Youth Services Glenview/northbrook, Glenview, IL 60026 | 2014-01-12 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560849 | Eliezer Tzvi Margolis | Clinical Neuropsychologist | 621 Madison St, Suite C, Evanston, IL 60202-2203 | 2005-12-29 |
| 1992137673 | Elizabeth Heideman | Clinical Neuropsychologist | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2013-08-05 |
| 1972860302 | Leslie Guidotti Breting | Clinical Neuropsychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2012-04-23 |
| 1376812792 | Julie B Eisengart | Clinical Neuropsychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2011-12-14 |
| 1932484136 | Aileen M Hartzell | Clinical Neuropsychologist | 1601 Sherman Ave, Ste 201, Evanston, IL 60201-5038 | 2011-10-19 |
| 1922236595 | Elizabeth Katharine Geary | Clinical Neuropsychologist | 909 Davis St, Ste 160, Evanston, IL 60201-3683 | 2009-06-23 |
| 1528266673 | Marcia R. Zumbahlen | Clinical Neuropsychologist | 130 Main St, Apt 2, Evanston, IL 60202-5425 | 2007-07-10 |
| 1336294024 | Mark A Moulthrop | Clinical Neuropsychologist | 636 Church St, Suite 407, Evanston, IL 60201-4508 | 2007-01-24 |
| 1518033869 | Jerry J Sweet | Clinical Neuropsychologist | 909 Davis St Ste 160, Evanston, IL 60201 | 2006-11-28 |
| 1427146620 | Anne P Maxwell | Clinical Neuropsychologist | 2650 Ridge Ave, 315 Burch Hall, Evanston, IL 60201-1718 | 2006-10-11 |
| Find all providers in EVANSTON | ||||
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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.