DR. MARTHA J BOCKIAN (NPI# 1912342338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912342338 |
| Entity Type | Individual |
| Full Name | DR. MARTHA J BOCKIAN |
| Credential | PH.D. |
| Practice Address |
6428 N California Ave Chicago IL 60645-5209 |
| Practice Telephone | 7737103354 |
| Mailing Telephone | 7737103354 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071006780 | IL | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071006780 | IL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071006780 | IL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071006780 | IL | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
071006780 | IL | Behavioral Health & Social Service Providers |
| Street Address |
6428 N CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578512489 | Aristides P Contos | Dentist | 6428 N California Ave, Chicago, IL 60645-5209 | 2006-05-08 |
| 1396391249 | Positively Focused, LLC | Clinical Neuropsychologist | 6428 N California Ave, Chicago, IL 60645-5209 | 2019-08-16 |
| 1609250851 | Contos Smile Center, Ltd. | Dentist | 6428 N California Ave, Chicago, IL 60645-5209 | 2015-07-17 |
| 1669782736 | Maria Sinis Dmd Ltd | Dentist | 6428 N California Ave, Chicago, IL 60645-5209 | 2010-10-07 |
| 1992014716 | Maria Sinis Contos | Dentist | 6428 N California Ave, Chicago, IL 60645-5209 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| 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 |
|---|---|---|---|---|
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
| 1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
| 1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
| 1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
| 1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
| 1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
| 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.