DR. LESLIE GUIDOTTI BRETING (NPI# 1972860302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972860302 |
| Entity Type | Individual |
| Full Name | DR. LESLIE GUIDOTTI BRETING |
| Credential | PH.D. |
| Practice Address |
909 Davis St Suite 160 Evanston IL 60201-3683 |
| Practice Telephone | 8474256433 |
| Practice Fax Number | 8474256408 |
| Mailing Telephone | 8474256433 |
| Mailing Fax Number | 8474256408 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071008242 | IL | Behavioral Health & Social Service Providers |
| Street Address |
909 DAVIS ST SUITE 160 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578540985 | Charles A. Thorsen IIi | Internal Medicine | 909 Davis St, Evanston, IL 60201-3664 | 2005-12-28 |
| 1992240246 | Natalie Anne Ruth Winiarski | Social Worker | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2016-12-22 |
| 1194173013 | David Bellisario | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2016-06-01 |
| 1821446378 | Omega Koch | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2016-05-25 |
| 1669827515 | Jordan Shelley | Physical Therapist | 909 Davis St, Evanston, IL 60201-3683 | 2016-04-28 |
| 1619331188 | Kelly Benfey | Physical Therapist | 909 Davis St, Evanston, IL 60201-3683 | 2016-04-11 |
| 1992113146 | Andrea Mueller | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2014-07-31 |
| 1699183962 | Travis Minniear | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2014-07-30 |
| 1548674336 | Brenda Hernandez | Psychologist | 909 Davis St, Evanston, IL 60201-3683 | 2014-06-19 |
| 1346664265 | Lara J. Jakobsons | Psychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1770560849 | Eliezer Tzvi Margolis | Clinical Neuropsychologist | 621 Madison St, Suite C, Evanston, IL 60202-2203 | 2005-12-29 |
| 1992137673 | Elizabeth Heideman | Clinical Neuropsychologist | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2013-08-05 |
| 1376812792 | Julie B Eisengart | Clinical Neuropsychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2011-12-14 |
| 1932484136 | Aileen M Hartzell | Clinical Neuropsychologist | 1601 Sherman Ave, Ste 201, Evanston, IL 60201-5038 | 2011-10-19 |
| 1922236595 | Elizabeth Katharine Geary | Clinical Neuropsychologist | 909 Davis St, Ste 160, Evanston, IL 60201-3683 | 2009-06-23 |
| 1528266673 | Marcia R. Zumbahlen | Clinical Neuropsychologist | 130 Main St, Apt 2, Evanston, IL 60202-5425 | 2007-07-10 |
| 1336294024 | Mark A Moulthrop | Clinical Neuropsychologist | 636 Church St, Suite 407, Evanston, IL 60201-4508 | 2007-01-24 |
| 1518033869 | Jerry J Sweet | Clinical Neuropsychologist | 909 Davis St Ste 160, Evanston, IL 60201 | 2006-11-28 |
| 1427146620 | Anne P Maxwell | Clinical Neuropsychologist | 2650 Ridge Ave, 315 Burch Hall, Evanston, IL 60201-1718 | 2006-10-11 |
| Find all providers in EVANSTON | ||||
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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.