Lookup NPI Numbers from the NPI Registry
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Health |
103TH0004X | 62 | Psychologist, Clinical | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1700499209 |
| LBN Legal business name | MB CLINICAL PSYCHOLOGY & CONSULTING, LLC |
| Authorized official | MIRNA BALLESTAS - (CLINICAL PSYCHOLOGIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/25/2020 |
| Last updated | 08/25/2020 - About 6 years ago |
| Identifiers | n/a |
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| EVOLVE PSYCHOLOGICAL SERVICES S.C. 2845 NORTH SHERIDAN ROAD CHICAGO, IL |
| RENEWED MINDS THERAPY & WELLNESS LLC 2623 N MASON AVE CHICAGO, IL |
| ALFREDO DELGADO PEREZ SR 1127 N OAKLEY BVL 3 FLOOR CHICAGO, IL |
| THOMAS F BARRETT, PhD 1030 N. CLARK ST. CHICAGO, IL |
| TIFFANY EDWARDS, PHD 900 N KINGSBURY ST STE RW-6 CHICAGO, IL |
| RACHEL C TERCEK, PhD 1653 W. CONGRESS PARKWAY CHICAGO, IL |
| FRANK A ROWE JR, PhD 544 NORTH CITYFRONT PLAZA DRIVE CHICAGO, IL |
| MICHAEL M MAKA, PSY.D. 820 W. JACKSON BLVD CHICAGO, IL |
| AMBER D BAUER GAMBLA, PhD 25 EAST WASHINGTON STREET CHICAGO, IL |
| MICHELLE MALTERS 30 N MICHIGAN AVE STE 1909 CHICAGO, IL |
MB CLINICAL PSYCHOLOGY & CONSULTING, LLC