Active NPI
Cathy Mollie Mavrolas, PH.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1316015829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- E. 65TH at Lake Michigan
Chicago, IL 60649 - Phone
- (773) 256-5722
- Fax
- (773) 363-7664
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | IL | Primary |
Addresses
Primary practice location
E. 65TH at Lake Michigan
Chicago, IL 60649
Mailing address
1591 N King George CT
Palatine, IL 60067-2764
Phone (847) 359-0589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004390 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316015829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 N KING GEORGE CT",
"city": "PALATINE",
"state": "IL",
"postal_code": "600672764",
"telephone_number": "847-359-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E. 65TH AT LAKE MICHIGAN",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-256-5722",
"fax_number": "773-363-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVROLAS",
"first_name": "CATHY",
"middle_name": "MOLLIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.