Theressa L. Labarrie Mitchell, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009800 Issued in IL

Practice address

200 W Madison St Ste 2100
Chicago, IL 60606-3521

Phone

(312) 522-8280

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1356791917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MADISON ST STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063521",
            "telephone_number": "312-522-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MADISON ST STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063521",
            "telephone_number": "312-522-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Library Pl",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602012908",
            "country_code": "US",
            "telephone_number": "312-609-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABARRIE MITCHELL",
        "first_name": "THERESSA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.009800",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thelma Labak
• Jonathan Labampa, DO
• Ignas Labanauskas, MD
• Ibrahim Labaran
• Beth Labardi, M.D.
• Jennifer L Labas
• Sandra Labastida
• Alexis Labauex, MD
• Joline L. Labedis, LCSW
• Michelle Labedz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.