TRANG T PHAM-SMITH (NPI# 1982090734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982090734 |
Entity Type | Individual |
Full Name | TRANG T PHAM-SMITH |
Credential | PSY.D. |
Practice Address |
1775 W Dempster St Park Ridge IL 60068-1143 |
Practice Telephone | 8477238184 |
Practice Fax Number | 8477237481 |
Mailing Telephone | 4772381848 |
Mailing Fax Number | 8477237481 |
Enumeration Date | 2015-04-08 |
Last Update Date | 2020-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071009759 | IL | Behavioral Health & Social Service Providers |
Street Address |
1775 W DEMPSTER ST |
City | PARK RIDGE |
State | IL |
Zip Code | 60068-1143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073504767 | Todd Clark | Emergency Medicine | 1775 W Dempster St, 1 West, Park Ridge, IL 60068-1143 | 2005-11-02 |
1235751488 | Cassie Ann Soltwedel | Nurse Practitioner | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2020-05-11 |
1093275943 | Charmi Vijay Desai | Internal Medicine | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2019-03-25 |
1548720402 | Samer Martini | Internal Medicine | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2019-03-25 |
1790256345 | Katherine Bulthuis | Registered Nurse | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2018-12-07 |
1164908992 | Megan Hughes | Clinical Nurse Specialist | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2018-07-16 |
1578068680 | Amit Dhiru Parekh | Orthopaedic Surgery | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2018-03-29 |
1386183374 | Katherine Schuster | Physician Assistant | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2017-02-23 |
1790131670 | Kaushal Majmudar | Internal Medicine | 1775 W Dempster St, Park Ridge, IL 60068 | 2016-05-10 |
1528420437 | Assad Munis | Internal Medicine | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2016-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
Find all providers in zip 60068 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578015665 | Allison Hayes Clarke | Psychologist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2016-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902441603 | Jasmine Dominique Jones | Psychologist | 19041 Willow Ave, Country Club Hills, IL 60478-5740 | 2019-11-18 |
1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
1891044038 | Irma Porcic Khelghati | Psychologist | 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 | 2012-09-04 |
Find all providers with the same taxonomy |
City | PARK RIDGE |
Zip Code | 60068 |
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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.