ZORA ANGEL MAHOMES (NPI# 1861032088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861032088 |
| Entity Type | Individual |
| Full Name | ZORA ANGEL MAHOMES |
| Other Name | MARGOT MAHOMES |
| Practice Address |
4056 W Jackson Blvd Chicago IL 60624-2756 |
| Practice Telephone | 7736289309 |
| Mailing Telephone | 7736289309 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| 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 | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
IL | Behavioral Health & Social Service Providers |
| Street Address |
4056 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| 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 |
| 1639321169 | Eugenie Bournique Pabst | Psychologist | 1901 N Clybourn Ave, Suite 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 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.