M Pachan PHD PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

M PACHAN PHD PLLC

Practice address

3317 W Le Moyne St
Chicago, IL 60651-2452

Phone

(312) 342-2894

NPI assigned

Jul 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Molly Pachan, PHD

Title

Clinical Psychologist

Phone

(312) 342-2894

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Edward Lahood, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1710289590
  NPD
• Mary Pachan, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1518285394
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1124699038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W LE MOYNE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512452",
            "telephone_number": "312-342-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W LE MOYNE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512452",
            "telephone_number": "312-342-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PACHAN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "PACHAN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-342-2894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mary-pachan.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice",
            "address_1": "3317 W Le Moyne St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606512452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• M D Aesthetics and Dermatology LLC
• M D Total Care PC
• M Dominguez Jr MD SC
• M Gomez Inc.
• M K Palmore MD SC
• M R Medical Transportation
• M Rahman, D.O., S.C.
• M S Hospitalist, LLC
• M S Labs Inc
• M-L Dental Clinic Inc

• Clinical Neuropsychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.