LAURIN JARROLD MACK (NPI# 1780062638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780062638 |
| Entity Type | Individual |
| Full Name | LAURIN JARROLD MACK |
| Credential | PH.D. |
| Practice Address |
710 S Paulina St Suite 316a Chicago IL 60612-3808 |
| Practice Telephone | 3125632781 |
| Mailing Telephone | 3125632781 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
IL | Behavioral Health & Social Service Providers | |
| Y | 103TH0004X |
Psychologist Specialization: Health |
IL | Behavioral Health & Social Service Providers |
| Street Address |
710 S PAULINA ST SUITE 316A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134290083 | Katherine Ann Krajci | Social Worker | 710 S Paulina St, Chicago, IL 60612-3808 | 2006-11-13 |
| 1003393489 | Elizabeth Culnan | Psychologist | 710 S Paulina St, Chicago, IL 60612 | 2018-07-27 |
| 1013400142 | Mary Laethem | Physical Therapist | 710 S Paulina St, Chicago, IL 60612-3808 | 2018-06-13 |
| 1083168066 | Colleen Durkin | Nurse Practitioner | 710 S Paulina St, Suite 600 Jrb, Chicago, IL 60612-3808 | 2016-08-08 |
| 1346691946 | Amanda Creden | Social Worker | 710 S Paulina St, Suite 438, Chicago, IL 60612-3808 | 2016-06-24 |
| 1407202815 | Erin Cecchi | Social Worker | 710 S Paulina St, Suite 438, Chicago, IL 60612-3808 | 2016-05-05 |
| 1144680182 | Christopher Stephenson | Physical Therapist | 710 S Paulina St, Chicago, IL 60612-3808 | 2016-03-03 |
| 1649651191 | Montserrat Lusarreta | Social Worker | 710 S Paulina St, Chicago, IL 60612-3808 | 2015-06-10 |
| 1629464672 | Lyndsey Anton | Social Worker | 710 S Paulina St, 432 Jrb, Chicago, IL 60612-3808 | 2015-04-07 |
| 1952704991 | Stephanie Zuba-bates | Occupational Therapist | 710 S Paulina St, Chicago, IL 60612-3808 | 2014-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990943 | Allison Jane Carroll | Psychologist | 333 E Ontario St Apt 4401b, Chicago, IL 60611-8104 | 2020-04-16 |
| 1255994075 | Aviva Ariel-donges | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2019-04-17 |
| 1700449659 | Christina Souv Khou | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2019-04-16 |
| 1841707908 | Dawn Erica Epstein | Psychologist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-10 |
| 1932622420 | Sylvia Herbozo | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2017-07-17 |
| 1265763247 | David Cosio | Psychologist | 820 S Damen Ave, Anesthesiology/pain Clinic, Chicago, IL 60612-3728 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104370121 | Megan Dolores Rosecrans | Psychologist | 1457 Merchant Dr Ste C, Algonquin, IL 60102-5917 | 2016-08-08 |
| 1457704603 | Wholehealth Therapy Partners, Inc | Psychologist | 715 Lake St Ste 410, Oak Park, IL 60301-1413 | 2016-07-22 |
| 1003467499 | Rosecrans & Associates Pllc | Psychologist | 1457 Merchant Dr Ste C, Algonquin, IL 60102-5917 | 2019-09-26 |
| 1295227601 | Stacey Joy Feuer | Psychologist | 1401 Lakewood Dr Ste A, Morris, IL 60450-3352 | 2018-05-31 |
| 1487175022 | Behavioral Medicine Partners, LLC | Psychologist | 28379 Davis Pkwy Ste 801, Warrenville, IL 60555-3032 | 2017-07-05 |
| 1346783990 | Susan Lesher | Psychologist | 800 Biesterfield Rd, Suite 610, Elk Grove Village, IL 60007-3361 | 2016-11-30 |
| 1255703971 | Michelle C Gates | Psychologist | 315 W Carpenter St, 1st Floor, Clinic A, Springfield, IL 62702-4901 | 2015-10-21 |
| 1891065561 | Victoria Reid Phd Ltd | Psychologist | 15255 S 94th Ave, Orland Park, IL 60462-3800 | 2012-01-11 |
| 1215218839 | Anjuli Ramesh Amin | Psychologist | 5000 S 5th Ave, Bldg. 228, Room 3012, Hines, IL 60141-3030 | 2011-09-09 |
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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.