Marcia Pavlou PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

711959 Issued in IL

Legal business name

MARCIA PAVLOU PHD PC

Practice address

721 N Grove
Oak Park, IL 60302

Phone

(312) 346-7733

Fax

(708) 848-0152

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Pavlou, PHDNPI 1700997384

Title

Clinical Psychologist

Phone

(312) 346-7733

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Marcia M Pavlou, PHD

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1700997384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1437260015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N GROVE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021551",
            "telephone_number": "312-346-7733",
            "fax_number": "708-848-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N GROVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60302",
            "telephone_number": "312-346-7733",
            "fax_number": "708-848-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA PAVLOU PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PAVLOU",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-346-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "711959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "054605000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BCBS",
            "identifier": "OR185",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "21608111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah C Manus, M.D.
• Kevin Maraizu, LCPC
• Nicolas Marangelli, LCSW
• Mary Joy Maravilla
• Todd Marcheschi, MS/CCC/SLP/L
• Natalia Marczak, PT
• Iyla Margulius, OTR.L
• Mari Mortensen LCSW PLLC
• Maria Cecilia Dahn, M.D.
• Maria Slobodian MD SC

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.