| The Family Institute At Northwestern University | |
|
618 Library Pl Evanston IL 60201-2908 | |
| (847) 733-4300 | |
| (847) 733-0390 |
| Full Name | The Family Institute At Northwestern University |
|---|---|
| Speciality | Psychologist |
| Location | 618 Library Pl, Evanston, Illinois |
| Authorized Official Name and Position | Samantha L Clark (DIRECTOR OF FINANCIAL ADMINISTRATIO) |
| Authorized Official Contact | 8477334300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Institute At Northwestern University 618 Library Pl Evanston IL 60201-2908 Ph: (847) 733-4300 | The Family Institute At Northwestern University 618 Library Pl Evanston IL 60201-2908 Ph: (847) 733-4300 |
| NPI Number | 1417988155 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2013 |
| Medicare PECOS PAC ID | 1052460466 |
|---|---|
| Medicare Enrollment ID | O20090514000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417988155 | NPI | - | NPPES |
| Provider Name | Richard E Zinbarg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962443424 PECOS PAC ID: 9436162625 Enrollment ID: I20060710000072 |
| Provider Name | Gina L Haverland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174676928 PECOS PAC ID: 0446333975 Enrollment ID: I20080207000144 |
| Provider Name | Edward M Maslar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417143942 PECOS PAC ID: 5294884938 Enrollment ID: I20090528000495 |
| Provider Name | Carl Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801933460 PECOS PAC ID: 5799835310 Enrollment ID: I20090602000505 |
| Provider Name | Donna R Baptiste |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437389418 PECOS PAC ID: 5092843607 Enrollment ID: I20100430000743 |
| Provider Name | Kate Goldhaber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063612208 PECOS PAC ID: 7012191463 Enrollment ID: I20110408000099 |
| Provider Name | Jennifer D Rafacz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558792762 PECOS PAC ID: 1052548849 Enrollment ID: I20131227000534 |
| Provider Name | Daniel Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386992089 PECOS PAC ID: 3678892205 Enrollment ID: I20150504001762 |
| Provider Name | Mark W Driscoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497122188 PECOS PAC ID: 0446541742 Enrollment ID: I20160616001025 |
| Provider Name | Paulette Freed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457526675 PECOS PAC ID: 1254629868 Enrollment ID: I20161014001217 |
| Provider Name | Julie A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689015992 PECOS PAC ID: 5799049896 Enrollment ID: I20180425001567 |
| Provider Name | Michelle L Mcmartin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316102072 PECOS PAC ID: 8123361243 Enrollment ID: I20191008000403 |
| Provider Name | Dawn K Livorsi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548318918 PECOS PAC ID: 5496086647 Enrollment ID: I20191018002328 |
| Provider Name | Jonathan M Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396973467 PECOS PAC ID: 3870739725 Enrollment ID: I20200302000004 |
| Provider Name | Daniela M Van Pelt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023622784 PECOS PAC ID: 0446678155 Enrollment ID: I20200911002655 |
| Provider Name | Catherine J Matteson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336758390 PECOS PAC ID: 2365849809 Enrollment ID: I20210924002578 |
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