KIMBERLY LISA SMITH-MARTINEZ


Address: 110 S Euclid Ave, Oak Park, IL 60302-2906
Phone: 2108546786

KIMBERLY LISA SMITH-MARTINEZ (NPI# 1871667980) 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) 1871667980
Entity Type Individual
Full Name KIMBERLY LISA SMITH-MARTINEZ
Credential PHD
Practice Address 110 S Euclid Ave
Oak Park
IL 60302-2906
Practice Telephone 2108546786
Practice Fax Number 7086135254
Mailing Telephone 2108546786
Enumeration Date 2006-11-20
Last Update Date 2014-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 071.008583 IL Behavioral Health & Social Service Providers
N 103T00000X Psychologist 30587 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 040555701 05

Office Location

Street Address 110 S EUCLID AVE
City OAK PARK
State IL
Zip Code 60302-2906

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1407328941 Arundathi Bannur Suresh Occupational Therapist 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 2018-12-21
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1568958726 Loretto Hospital Clinic/Center 1000 Madison St, Oak Park, IL 60302 2018-07-10
1649783143 Mary Joyce Arenas Lagatao Nurse Practitioner 101 Madison St, 3rd Floor, Oak Park, IL 60302 2017-11-07
1427578251 Amanda Lam Behavior Technician 721 South Blvd., Suite 210, Oak Park, IL 60302 2017-06-22
1649790577 Samantha Lotti Acupuncturist 1119 Pleasant St, Oak Park, IL 60302 2017-06-21
1770010480 Robert Smith IIi Behavior Technician 412a S. Taylor Ave, Oak Park, IL 60302 2017-05-12
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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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1376159541 Jill Caryn Campbell Psychologist 342 Ocho Rios Way, Oak Park, CA 91377-5541 2020-09-22
1215419064 Ethos Behavioral Health Psychologist 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 2018-08-29
1154865590 Destiny Peterson Psychologist 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 2016-12-05
1811226954 Tara Marie Andersen Psychologist 8543 Oak Park Blvd, Oak Park, MI 48237-1847 2009-12-21
1396981627 Uhs of Hartgrove, Inc Psychologist 101 Madison St Ste 200, Oak Park, IL 60302-4210 2008-12-16
1609081637 Laurie Anderson Psychologist 206 S Kenilworth Ave, Oak Park, IL 60302-3116 2007-05-12
1255451084 Maurice Solodky Phd P.C. Psychologist 1034 Pleasant St, Oak Park, IL 60302-3002 2007-03-29
1033251384 Debora Ilene Rothbart Psychologist 26031 Stratford Pl, Oak Park, MI 48237-1029 2007-02-13
1730293036 Tamar A Levinson Psychologist 1051 N Humphrey Ave, Oak Park, IL 60302-1419 2006-08-17
1235169335 Neal J Gordon Psychologist 433 Wisconsin Ave, Oak Park, IL 60302-3688 2006-07-04
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Competitor

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City OAK PARK
Zip Code 60302

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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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