NPIMap

Organization Active NPI

Joanne Marwil, Psy.D. and Associates

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1245668979
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0071006182 Issued in IL
Legal business name
JOANNE MARWIL, PSY.D. AND ASSOCIATES
Practice address
4753 N Broadway St
Suite 826
Chicago, IL 60640-5266
Phone
(773) 317-3949
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Joanne Lynn Marwil, PSY.D.
Title
Chief Psychologist
Phone
(773) 317-3949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0071006182 IL Primary

Addresses

Primary practice location

4753 N Broadway St
Suite 826
Chicago, IL 60640-5266

Mailing address

4753 N Broadway St
Suite 826
Chicago, IL 60640-5266
Phone (773) 317-3949

National Provider Directory

National Provider Directory

Locations

4753 N Broadway St
Ste 826
Chicago, IL 60640
Phone (773) 317-3949

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1245668979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST",
            "address_2": "SUITE 826",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405266",
            "telephone_number": "773-317-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST",
            "address_2": "SUITE 826",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405266",
            "telephone_number": "773-317-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE MARWIL, PSY.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "MARWIL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-317-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "0071006182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.