DR. LARRY JOEL POWITZ (NPI# 1982798856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982798856 |
| Entity Type | Individual |
| Full Name | DR. LARRY JOEL POWITZ |
| Credential | EDD |
| Practice Address |
830 S Buffalo Grove Rd Suite 112 Buffalo Grove IL 60089 |
| Mailing Address |
2603 N Stratford Rd Arlington Heights IL 60004-2245 |
| Practice Telephone | 8473920987 |
| Mailing Telephone | 8473920987 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 0001635032 | 01 |
| IL | VALUE OPTIONS | 103266 | 01 |
| IL | MAGELLAN | 191650 | 01 |
| Street Address |
830 S BUFFALO GROVE RD SUITE 112 |
| City | BUFFALO GROVE |
| State | IL |
| Zip Code | 60089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699971382 | Jerome Stanley Pietrzak | Psychologist | 830 S Buffalo Grove Rd, Suite 112, Buffalo Grove, IL 60089-3772 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795275 | Mary Elizabeth Strain, Phd LLC | Psychologist | 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 | 2018-03-27 |
| 1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
| 1487165304 | Crystalann Sasha Thomas | Social Worker | 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 | 2017-10-18 |
| 1801315718 | Natalya Sagalov | Psychologist | 1283 Sandhurst Drive, Buffalo Grove, IL 60089 | 2017-09-12 |
| 1770035859 | Transport Auto Inc | Non-emergency Medical Transport (VAN) | 456 Chicory Ln, Buffalo Grove, IL 60089 | 2016-10-25 |
| 1982062535 | Eileen Fang | Occupational Therapist | 858 Horatio Blvd., Buffalo Grove, IL 60089 | 2016-02-10 |
| 1437538345 | Jamie Levin | Social Worker | 830 Belmar Lane, Buffalo Grove, IL 60089 | 2015-05-26 |
| 1669850756 | Cress Chiropractic Inc | Chiropractor | 1176 Mchenry Road, Buffalo Grove, IL 60089 | 2015-05-11 |
| 1801273123 | Vicki Lane Sheehan | Dentist | 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 | 2015-05-06 |
| 1073918629 | Natalya Nagornaya Dds PC | Dentist | 472 Half Day Rd, Buffalo Grove, IL 60089 | 2014-10-24 |
| Find all providers in zip 60089 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795275 | Mary Elizabeth Strain, Phd LLC | Psychologist | 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 | 2018-03-27 |
| 1164936043 | Anna M Adams Psyd Center for Social Emotional Wellness Ltd | Psychologist | 355 W Dundee Rd Ste 200, Buffalo Grove, IL 60089-3500 | 2017-11-30 |
| 1154861466 | Grove Psychological Services | Psychologist | 480 Castlewood Ln, Buffalo Grove, IL 60089-1616 | 2017-03-06 |
| 1871998567 | Jeana Lucarelli Ma Psy D Health Management, Inc | Psychologist | 318 W Half Day Rd Ste 326, Buffalo Grove, IL 60089-6547 | 2014-10-24 |
| 1295900256 | Juliana Stoyanova Panova | Psychologist | 1077 Auburn Ln, Buffalo Grove, IL 60089-6777 | 2008-04-29 |
| 1184840340 | Allison H Mcevers | Psychologist | 1110 Lake Cook Rd, Suite 292, Buffalo Grove, IL 60089-1944 | 2007-04-17 |
| 1619947520 | Mark W Turner | Psychologist | 139 Stonegate Rd, Buffalo Grove, IL 60089-1914 | 2006-01-24 |
| 1841796307 | Kelly Ann R. Pariso | Psychologist | 1450 Busch Pkwy Ste 103, Buffalo Grove, IL 60089-4541 | 2018-04-03 |
| 1811355324 | Ohara Therapy of Chicago | Psychologist | 318 W Half Day Rd, Pmb 167, Buffalo Grove, IL 60089-6547 | 2016-01-29 |
| 1437593852 | Anna Adams | Psychologist | 355 W Dundee Rd, Ste 200, Buffalo Grove, IL 60089-3500 | 2013-04-29 |
| Find all providers in BUFFALO GROVE | ||||
| City | BUFFALO GROVE |
| Zip Code | 60089 |
Please comment or provide details below to improve the information on DR. LARRY JOEL POWITZ.
| 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.