FREDERICK SLATE (NPI# 1932391489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932391489 |
| Entity Type | Individual |
| Full Name | FREDERICK SLATE |
| Credential | ED.D. |
| Practice Address |
1048 Victoria Ln Glendale Heights IL 60139-4508 |
| Practice Telephone | 6304695781 |
| Practice Fax Number | 6304695781 |
| Mailing Telephone | 6304695781 |
| Mailing Fax Number | 6304695781 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
1048 VICTORIA LN |
| City | GLENDALE HEIGHTS |
| State | IL |
| Zip Code | 60139-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465909 | Jonathan Rieckmann | Home Health Aide | 1187 Harbor Court, Glendale Heights, IL 60139 | 2017-09-02 |
| 1265968333 | Alpha Omega Caregivers, Inc | Home Health | 292 Paddock Cir, Glendale Heights, IL 60139 | 2017-05-10 |
| 1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
| 1700274412 | Ivelisse Torres | Interpreter | 1579 Floyd Brown Ln, Glendale Heights, IL 60139 | 2015-01-05 |
| 1659786069 | Polpain Interventional Pain Management Center Ltd. | Clinic/Center | 2090 Gladstone Dr., Unit B, Glendale Heights, IL 60139 | 2014-06-24 |
| 1699100156 | Katarzyna M Lazarczuk | Physical Therapist | 2190 Gledstone Drive, Unit B, Glendale Heights, IL 60139 | 2013-09-03 |
| 1063754232 | Dental Heights Dds PC | Dentist | 148 East Army Trail Road, Glendale Heights, IL 60139 | 2013-03-26 |
| 1306077466 | Sarah Elizabeth Del Gallo | Physical Therapy Assistant | 875 Roosevelt Road, Glen Ellyn, IL 60139 | 2009-08-06 |
| 1275796088 | Joseph P Nguyen | Pharmacist | 2164 Bloomingdale Road, Glendale Heights, IL 60139 | 2008-07-02 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| Find all providers in zip 60139 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830909 | The Sirona Center | Psychologist | 2005 Bloomingdale Rd Ste B, Glendale Heights, IL 60139-2151 | 2019-03-17 |
| 1891323663 | Daniel Galbo | Psychologist | 2005 Bloomingdale Rd Ste B, Glendale Heights, IL 60139-2151 | 2020-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | GLENDALE HEIGHTS |
| Zip Code | 60139 |
Please comment or provide details below to improve the information on FREDERICK SLATE.
| 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.