DEIRDRE B. KOLDYKE (NPI# 1992966683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992966683 |
| Entity Type | Individual |
| Full Name | DEIRDRE B. KOLDYKE |
| Credential | LMFT |
| Practice Address |
1750 N Kingsbury St Chicago IL 60614-4813 |
| Practice Telephone | 3122591302 |
| Mailing Telephone | 3122591302 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.000722 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1750 N KINGSBURY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982823605 | Lisa Margaret W Jurski | Physical Therapist | 1750 N Kingsbury St, Chicago, IL 60614-4813 | 2007-04-24 |
| 1922426592 | Lmj Pt LLC | Clinic/Center | 1750 N Kingsbury St, Chicago, IL 60614-4813 | 2014-04-01 |
| 1225364516 | Michelle Catherine Cain | Social Worker | 1750 N Kingsbury St, Chicago, IL 60614-4813 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1902415854 | Enriched Living Counseling LLC | Marriage & Family Therapist | 1546 W Sherwin Ave Apt 1s, Chicago, IL 60626-2138 | 2020-07-27 |
| 1366064990 | Danielle Lauren Boisvert | Marriage & Family Therapist | 20 N Wacker Dr Ste 1442, Chicago, IL 60606-2906 | 2020-05-18 |
| 1639705114 | Michelle Ahmed | Marriage & Family Therapist | 5100 N Ravenswood Ave Ste 219, Chicago, IL 60640-1710 | 2020-03-17 |
| 1639700685 | Myra Clementine Castaneda | Marriage & Family Therapist | 5100 N Ravenswood Ave Ste 209, Chicago, IL 60640-1710 | 2020-01-29 |
| 1487295481 | Teresa D'astice | Marriage & Family Therapist | 7239 W Berwyn Ave, Chicago, IL 60656-1840 | 2019-10-01 |
| 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.