Marylou Nallen, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007149 Issued in IL

Practice address

708 Florsheim Dr
Suite 13
Libertyville, IL 60048-5001

Phone

(847) 561-2397

NPI assigned

Sep 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karis Psychological Services, LLC

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1942503404
  NPD (past) Authorized official

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1205936952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 FLORSHEIM DR",
            "address_2": "#13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485001",
            "telephone_number": "847-561-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 FLORSHEIM DR",
            "address_2": "SUITE 13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485001",
            "telephone_number": "847-561-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLEN",
        "first_name": "MARYLOU",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4932686",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janki R Nagarsheth, OTR/L
• Vanessa Nagel
• Maher C Nahlawi, MD
• Alison Nair
• Akemi Lynn Nakanishi, M.D.
• Carolyn Nam, THERAPIST
• Nancy Mitchell LCPC LLC
• Shweta Narang, MD
• Igor Naryzhny, D.O.
• Taylor Natonton, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.