Paulette Marie Stronczek, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

636 Church St
Suite 719
Evanston, IL 60201-4508

Phone

(847) 917-3044

NPI assigned

Oct 15, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1093904187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 LOTUS AVE",
            "address_2": "#212",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772097",
            "telephone_number": "847-917-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 719",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-917-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONCZEK",
        "first_name": "PAULETTE",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stribling-Vergara, LCSW
• Nicole Jeanine Strode
• Joseph Karl Strohmeyer, MS, CGC
• Wendy B. Strom, APN-CNP
• Shira M Stromer, RN
• Darrica Jenice Strong
• Catherine B Stroud, PHD
• Studio Noesis Psychotherapy PLLC
• Luminita Stutz, CNP
• Kuan-Ren Su, L.AC., M.S.T.O.M.

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.