EMILY WOLODIGER


Address: 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227
Phone: 3125639013

EMILY WOLODIGER (NPI# 1811532880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811532880
Entity Type Individual
Full Name EMILY WOLODIGER
Credential PH.D.
Practice Address 1645 W Jackson Blvd Ste 302
Chicago
IL 60612-3227
Practice Telephone 3125639013
Mailing Telephone 3125639013
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 071.010148 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE OF ILLINOIS LICENSE 071.010148 01

Office Location

Street Address 1645 W JACKSON BLVD STE 302
City CHICAGO
State IL
Zip Code 60612-3227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730729757 Amanda Seanior Counselor 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 2020-01-07

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1013524818 Lincoln Park Psychology, Inc. Psychologist 644 W Webster Ave # B, Chicago, IL 60614-3710 2020-09-25
1962016386 Brittney Aubin Psychologist 2555 N Clark St Apt 201, Chicago, IL 60614-1722 2020-09-02
1235750860 Dia Anjali Mason Psychologist 1234 N Kedzie Ave, Chicago, IL 60651-2408 2020-05-05
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1124660022 Lynne Lieberman Psychologist 325 S Paulina St, Chicago, IL 60612-3206 2019-10-11
1003462821 Michael Marek Maka Psychologist 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 2019-08-16
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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