The Food Therapist, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE FOOD THERAPIST, PLLC

Practice address

389 Ridge Ave
Winnetka, IL 60093-2517

Phone

(415) 640-6148

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Rachelle Mallik, RDNPI 1649669920

Title

Manager

Phone

(415) 640-6148

Specialties & licenses 1

Addresses

Other names 1

• The Food Therapist, LLC Former legal business name

Practitioners 1

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

• Rachelle Lacroix Mallik, MA, RD, LDN

  • Registered Dietitian
  • Chicago, IL
  • NPI 1649669920

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1487499034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600930502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 RIDGE AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932517",
            "telephone_number": "415-640-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOD THERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "MALLIK",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-640-6148",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Food Therapist, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Grace R Sun
• Susan Chen, Ms, LCSW, PLLC
• Jana Marlene Susie, MSPT
• Paul Sweetow, LCSW
• Carol Kay Tharp, MD
• Shelby Lynne Thelen, CCC-SLP
• Jennifer W. Thompson, PH.D., LCSW
• Lydia Sarah Thornton, LCSW
• Tobogo Therapies, LLC
• Alfred Torrence, MD

• Registered Dietitian in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.